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现代心血管疾病的治疗取得了重大进展,特别是药物治疗和介入技术的发展极大地提高了患者的预后,然而仍有很多患者在应用常规治疗后的症状不能明显缓解。高位胸段硬膜外交感神经阻滞通过抑制过度激活的心脏交感神经,抑制心室重构,改善心力衰竭患者的心脏功能;同时降低心率和心脏后负荷,减少心肌耗氧,对心血管疾病的治疗具有独特的意义。现就近年来关于高位胸段硬膜外交感神经阻滞治疗心血管疾病的进展予以综述。
Significant progress has been made in the treatment of modern cardiovascular diseases. In particular, the development of pharmacological and interventional techniques has greatly improved the prognosis of patients. However, there are still many patients whose symptoms can not be relieved after conventional treatment. High thoracic epidural anesthesia blocks heart function in patients with congestive heart failure by inhibiting over-activated cardiac sympathetic nerve, inhibiting ventricular remodeling, reducing heart rate and post-cardiac load, and decreasing myocardial oxygen consumption. Treatment has a unique meaning. In recent years, the progress on the treatment of cardiovascular disease in high thoracic epidural block is reviewed.