| CSEA用于肾移植麻醉的研究 |
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| 引用本文： | 张晔,李树人,张利平.CSEA用于肾移植麻醉的研究[J].首都医学院学报,1999,20(4):259-261. |
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| 作者姓名： | 张晔 李树人 张利平 |
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| 作者单位： | 首都医科大学附属北京友谊医院麻醉科(张晔，李树人)，北京医科大学第三医院(张利平) |
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| 摘 要： | 为探讨脊麻 硬膜外联合阻滞（ＣＥＳＡ） 在同种异体肾移植手术中的效果，对２２ 例同种异体肾移植手术病人，使用脊麻 硬膜外联合阻滞（Ａ 组） ，并与２２ 例连续硬膜外阻滞（Ｂ 组） 进行比较。结果：Ａ 组麻醉起效快〔Ｔ８ 阻滞时间（２ ．９ ±１ ．１） ｍｉｎ〕，与Ｂ 组〔（９ ．０ ±１ ．９） ｍｉｎ〕比较有非常显著性差异（ Ｐ＜ ０ ．０１） ；２ 组对循环系统影响相似（ Ｐ＞０ ．０５） 。Ａ 组病人无１ 例主诉术后头痛。结果提示：脊麻 硬膜外联合阻滞是同种异体肾移植手术安全、可靠的麻醉方法之一。
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| 关 键 词： | 脊麻 硬膜外联合阻滞 同种异体肾移植手术 连续硬膜外阻滞 |
| 收稿时间： | 1998-11-05 |
| 修稿时间： | 1998-11-05 |
Combined Spinal-epidural Anesthesia for Renal Homotransplantation |
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| Zhang Ye,Li Shuren,Zhang Liping.Combined Spinal-epidural Anesthesia for Renal Homotransplantation[J].Journal of Capital University of Medical Sciences,1999,20(4):259-261. |
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| Authors: | Zhang Ye Li Shuren Zhang Liping |
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| Institution: | 1. Department of Anesthesiology, Beijing Friendship Hospital, Affiliate of Capital University of Medical Sciences;2. The Third Hospital of Beijing Medical University |
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| Abstract: | To explore whether combined spinal epidural anesthesia ( CSEA) applies to renal homotransplantation. Forty four patients undergoing renal homotransplantation were ad mitted to this study .In 22 patients used CSEA (group A) , while the other 22 patients used continuous epidural anesthesia as control (group B) . Group A had much more rapid than group B( P< 0 .01) . The two groups had similar influence on cardiovascular system ( P> 0 .05) . Furthermore , no complain of the incidence of postdural puncture headache in the group A. The results showed that CSEAis one of safety and reliable anesthesia for renal homotransplantation . |
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| Keywords: | combined spinal epidural anesthesia homotransplantation continuous epidural anesthesia |
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