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specifically怎么理解?

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发布于 2022-01-22 · 浏览 425 · IP 江苏江苏
这个帖子发布于 3 年零 122 天前,其中的信息可能已发生改变或有所发展。

Finally, most recently, Lessing et al. [23] reported on a single-institution experience with spinal anesthesia for lumbar spine surgery specifically in elderly patients. In this study, 56 patients 70 years or older underwent a variety of lumbar spine surgeries (27 decompression, 29 decompression and fusion). The mean operative time was 101 minutes, mean operative blood loss was 187 mL, and mean maximal pain score (visual analogue scale) was 6.2/10. Nausea was noted in 21% of patients, and the mean length of hospital stay was 2.4 days. There were no cases of mortality, stroke, permanent loss of function, or pulmonary embolism. In addition, there were no cases of failed spinal technique requiring conversion to GA, and all patients ambulated on the day of surgery or next morning. The oldest patient in this study was 84 years of age, and the longest surgery was 3.5 hours. Authors demonstrated in this case that lumbar spine surgery with spinal anesthesia is a safe and viable option for elderly patients (70 years or greater) undergoing spinal surgery.

1.最后,最近Lessing等人[23]报道了单机构腰椎手术(尤其是老年患者的)脊麻的经验。

2.最后,最近Lessing等人[23]报道了专门针对老年患者进行腰椎手术的单机构腰麻经验。

1和2哪个正确?1就是不光是老年人,还有其他人群,只是老年人为主,2就是只有老年人,看后面的说法都是70岁或以上的患者,那应该是2,下面是原文,查了感觉也是2



Spinal anesthesia is increasingly viewed as a reasonable alternative to general anesthesia for lumbar spine surgery. However, the results of spinal anesthesia in elderly patients undergoing lumbar spine decompression and combined decompression and fusion procedures are limited in the literature. The aim of this study was to report a single institution's experience using spinal anesthesia in elderly patients undergoing lumbar spine surgery. A retrospective review was conducted using a prospectively collected database of consecutive lumbar spine surgeries performed under spinal anesthesia in patients 70 years or older at a single center between December 2013 and October 2015. A total of 56 patients were included in the study; 27 patients (48%) underwent lumbar decompression and 29 patients (52%) underwent combined decompression and fusion procedures. Mean operative time was 101 minutes (range, 30-210 minutes), and mean operative blood loss was 187 mL (range, 20-700 mL). 

最后编辑于 2022-10-09 · 浏览 425

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