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连续硬膜外阻滞对婴幼儿血流动力学的影响
引用本文:林志华,陈娟,陈秉学,邓天忠. 连续硬膜外阻滞对婴幼儿血流动力学的影响[J]. 中山大学学报(医学科学版), 1997, 0(2)
作者姓名:林志华  陈娟  陈秉学  邓天忠
作者单位:中山医科大学附属第一医院麻醉科
基金项目:中山医科大学附一院科研基金
摘    要:
探讨硬膜外阻滞麻醉对婴幼儿循环功能的影响:前瞻性选择2岁以下小儿施行连续硬膜外阻滞麻醉,定时测定阻滞前后收缩压、舒张压、平均动脉压、心率、每搏输出量、分钟心输出量、射血速率指数、心室射血时间、肺液指数等9项指标及阻滞平面,其中阻滞平面达胸4(T4)和胸6(T6)各10例;结果表明阻滞平面达T4和T6两组患儿硬膜外阻滞后,除心率减慢之外,其他指标无明显改变,提示连续硬膜外阻滞麻醉对婴幼儿血流动力学无明显影响。

关 键 词:麻醉.硬膜外;血流动力学;婴幼儿

THE EFFECTS OF EPIDURAL ANESTHESIA ON HEMODYNAMICS IN INFANT
Lin Zhihua Chen Juan Chen Bingxue Deng Tianzhong. THE EFFECTS OF EPIDURAL ANESTHESIA ON HEMODYNAMICS IN INFANT[J]. Journal of Sun Yatsen University(Medical Sciences), 1997, 0(2)
Authors:Lin Zhihua Chen Juan Chen Bingxue Deng Tianzhong
Abstract:
Twenty infants underwent epidural anesthesia were divided into two groups: T 4 group and T 6 group, according to the blocked levels there were 10 cases in each group. The changes on SBP, DBP, MAP, HR, SV, CO, EVI, VET and TFI were systematically observed before and after blocked. The results showed that no changes were found in all indexes except the decreasing of HR in both groups. The study suggested that the epidural anesthesia had no apparent effects on hemodynamics in infant.
Keywords:anesthesia   epidural  hemodynamics  infant
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