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动脉导管未闭并发肺动脉高压症病人手术的麻醉
引用本文:滕宝润,盛卓人,伟平,张倩,张显清. 动脉导管未闭并发肺动脉高压症病人手术的麻醉[J]. 中国医科大学学报, 1987, 0(3)
作者姓名:滕宝润  盛卓人  伟平  张倩  张显清
作者单位:中国医科大学附属第一医院麻醉学教研室(滕宝润,盛卓人,■伟平,张倩),中国医科大学附属第一医院心脏科(张显清)
摘    要:
本文总结我院100例并发肺动脉高压症的动脉导管未闭手术的麻醉经验。本组病例采用吸入麻醉,术中以控制性低血压预防导管破裂。在处理导管过程中,有8例发生出血意外,采用紧急降压或控制性低血压等措施,以利于钳夹主动脉或肺动脉进行缝合止血。其中1例止血困难者,紧急在体外循环下,修补血管止血成功。本组手术死亡率3%。

关 键 词:动脉导管未闭  肺动脉高压症  控制性低血压  体外循环

THE ANESTHESIA MANAGEMENT FOR THE OPERATIONS OF PATENT DUCTUS ARTERIOUS WITH PULMONARY HYPERTENSION
Teng Baorun,Zhang Xianqing et al. THE ANESTHESIA MANAGEMENT FOR THE OPERATIONS OF PATENT DUCTUS ARTERIOUS WITH PULMONARY HYPERTENSION[J]. Journal of China Medical University, 1987, 0(3)
Authors:Teng Baorun  Zhang Xianqing et al
Affiliation:Teng Baorun,Zhang Xianqing et al Department of Anesthesiology,The First Affiliated Hospital Department of Cardiology,The First Affiliated Hospital
Abstract:
A hundred cases of anesthesia for surgical intervention of patent ductusarterious (PDA) with pulmonary hypertension were presented.Inhalation anes-thesia was used for these cases, and controlled hypotension was available toprevent the rupture of ducts during surgical intervention.The accidents of ma-ssive hemorrhage happened in 8 cases during intervention.Emergency hypoten-sion and controlled hypotension were applied for temporal acculating hypoten-sion the aorta or pulmonary artery to repair the hemorrhage site. And ex-traooral circulation was available in a severe case. The surgical mortality inour cases was 3%.
Keywords:Patent ductus arterious  Pulmonary hypertension  Controlled hypotension  Extracorporal circulation
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