EPIDURAL ANALGESIA AND THE METABOLIC RESPONSE TO SURGERY

被引：30

作者：

COOPER, GM

HOLDCROFT, A

HALL, GM

ALAGHBANDZADEH, J

机构：

[1] HAMMERSMITH HOSP,ROYAL POSTGRAD MED SCH,DEPT ANAESTHET,LONDON W12 0HS,ENGLAND

[2] CHARING CROSS HOSP,SCH MED,DEPT CHEM PATHOL,LONDON W6 8RF,ENGLAND

来源：

CANADIAN ANAESTHETISTS SOCIETY JOURNAL | 1979年 / 26卷 / 05期

关键词：

D O I：

10.1007/BF03006452

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

The effect of epidural blockade on the metabolic and hormonal responses to pelvic surgery was investigated in 14 female patients. Central venous blood samples were collected every 30 minutes and analysed for free fatty acids, glycerol, β-hydroxybutyrate, acetoacetate, glucose, lactate, pyruvate, cortisol and growth hormone concentrations. There was no change in fat and glucose metabolism except for a transient decrease in lipolysis after 30 minutes of surgery. Cortisol and growth hormone values were significantly increased (p < 0.01) after 60 minutes. A small but statistically significant increase in blood lactate concentration was observed (p< 0.01) and the concept of a metabolic V/Q" abnormality is postulated to explain the lacticacidaemia. © 1979 Canadian Anesthesiologists."

引用

页码：381 / 385

页数：5

共 14 条

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