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全麻复合上胸部硬膜外阻滞对乳腺癌根治术应激反应的影响 被引量:16

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摘要 麻醉手术操作会引起强烈的应激反应甚至导致严重的并发症[1,2].单纯吸入全麻不能完全抑制麻醉手术期间的麻醉操作、手术操作等刺激所引起的脑垂体和肾上腺髓质分泌大量应激激素[3],增大吸入麻醉药浓度,加大麻醉深度会产生严重的心血管并发症,如心肌抑制、心律失常等[4].
出处 《中华麻醉学杂志》 CAS CSCD 北大核心 2003年第5期382-383,共2页 Chinese Journal of Anesthesiology
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参考文献10

  • 1Groeben H,Schafer B,Pavlakovic G,et al.Lung function under high segmental thoracic epidural anesthsia with ropivacaine or bupiracaine in patients with severe obstructive pulmonary disease undergoing hreast surgery.Anesthesiology,2002,96:536-541.
  • 2Fleisher LA,Anderson GF.Perioperative risk:how can we study the influence of provider characteristics?Anesthesiology,2002,96:1039-1041.
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  • 6Gold MS,Crosta DD,Rizzuto C,et al.The effect of lumbar epidural and general anesthesia on plasma catecholamines and bemodynamics during abdominal aortic aneurysm repair.Anesth Analg,1994,78:225-230.
  • 7Desborough JP.The stress response to trauma and surgery,Br J Anaesth,2000,85:109-117.
  • 8Segawa H,Mori K,Kasai K,et al.The role of the phrenic nerves in stress response in abdominal surgery.Anesth Analg,1996,82:1215-1224.
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