Zhonghua yi xue za zhi
-
Zhonghua yi xue za zhi · Apr 2007
Comparative Study Clinical Trial[Effects of different anesthetic methods and anesthetic drugs on stress reaction during surgical operation].
To investigate the effect of four different anesthetic methods (combined epidural with general anesthesia with endotracheal intubation or with laryngeal mask airway, total intravenous anesthesia or remifentanil intravenous infusion combined with inhalational anesthesia) on stress reaction in patients undergoing upper abdominal surgery. ⋯ Different anesthetic methods and anesthetic drugs had different effects on stress reaction (hormones) during surgical operation. Regardless of general anesthesia or intrathecal anesthesia, harmful stimulus could not be completely blocked by the intraoperative management and stress regulation during operation. Intrathecal anesthesia combined with general anesthesia could inhibit the stress reaction during upper abdominal surgery. Continuous remifentanil target controlled infusion could inhibit the degree of stress reaction, either.
-
Zhonghua yi xue za zhi · Apr 2007
[Magnifying effect of conduit bridging in number of nerve fibers of broken peripheral nerves: experiment with rats].
To observe the magnifying effect of conduit bridging in number of nerve fibers of broken peripheral nerves. ⋯ The axon number distal to the transaction site becomes significantly more than that at the proximal end after bridging. The magnification effect of the bridging of homologous nerve is greater than that of non-homologous nerve. It is possible to repair the thicker nerve at the distal broken end with thinner nerve at the proximal end clinically.
-
Zhonghua yi xue za zhi · Apr 2007
[Clinical application of cerebral oxygenation monitoring during aortic aneurysm operation].
To analyze the correlation between cerebral oxygenation and cerebral complications after aortic aneurysm operation and to evaluate the protective effects of DHCA and/or ASCP during aortic aneurysm operation. ⋯ Mild decrease of TOI is not significantly correlated to the occurrence of complication. DHCA + ASCP is more effective in brain protection compared with only DHCA.
-
Zhonghua yi xue za zhi · Apr 2007
[Clinical values of detection of serum levels of S100B and NSE in diagnosis of brain injuries at early period after cardiopulmonary bypass].
To investigate the clinical values of detecting the blood serum levels of S100B and neuron-specific enolase (NSE) in diagnosis of brain injuries at early period after cardiopulmonary bypass (CPB). ⋯ Both serum S100B and serum NSE are sensitive markers in the early diagnosis of brain injuries after CPB. Detection of both S100B and NSE is the most specific, and mere detection of S100B comes behind.
-
Zhonghua yi xue za zhi · Apr 2007
[A clinical study of impedance graph in verifying tracheal intubation].
To evaluate the clinical usefulness of impedance pneumography in determining the tube placement during endotracheal intubation. ⋯ Impedance pneumography is one of the reliable methods for diagnosing tracheal tube position.