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重型急性胰腺炎的麻醉研究

Clinical Research on Anesthesia in Patients with Severe Acute Pancreatitis
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摘要 MODS是重型急性胰腺炎(SAP)最严重的病理改变,本文对81例住院SAP患者进行了研究,其中中西医结合组41例、西医对照组40例,所有病人均施行了普鲁卡因静脉复合麻醉下的手术治疗。研究显示,中西医结合组术中低血压和术后出现ARDS、MODS的发生率明显低于西医组(P<0.05)。我们认为中药与普鲁卡因能有效防止SAP病人术中低血压和术后ARDS和MODS的发生。 ultiple Organ Dysfunction Syndrom(MODS) is one of the most critical pathologic changes in patients with severe acute pancreatitis(SAP).Eighty-one patients with SAP were studied.41 were treated with western medicines combined with purgating herbs,40 in the control group were treated only with western medicines.All patients underwent operation with compound intravenous anesthesia of procaine.The incidences of hypotension occuring during operation,ARDS and MODS in the postoperative period in the combined medicine group were lower than in the control group(P<0.05).It was suggested that the Chinese herbs(mainly with purgating effect)and procaine could effectively prevent from occurrence of hypotension during operation and of ARDS and MODS postoperatively in SAP patients.
机构地区 天津市南开医院
出处 《中国中西医结合外科杂志》 CAS 1997年第6期367-369,共3页 Chinese Journal of Surgery of Integrated Traditional and Western Medicine
关键词 通里攻下法 普鲁卡因 静脉复合麻醉 胰腺炎 purgating method in TCM,compound intravenous anesthesia of procaine,clinical study
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