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成人心肺转流中应用七氟醚对变温效果的影响
引用本文:贾在申,刘瑞芳,吉冰洋,刘进德. 成人心肺转流中应用七氟醚对变温效果的影响[J]. 临床麻醉学杂志, 2009, 25(10)
作者姓名:贾在申  刘瑞芳  吉冰洋  刘进德
作者单位:首都医科大学附属北京安贞医院体外循环科,100029;华北石油总医院麻醉科
摘    要:目的 观察心肺转流(CPB)期间七氟醚对降温、复温速率的影响.方法 60例心脏瓣膜术患者随机均分为两组:A组于心脏停跳后根据血压情况向膜式氧合器中吹入0.25%~0.5%七氟醚;B组手术中使用硝普钠控制术中血压.结果 与B组比较,A组CPB过程中可以安全、有效地把血压控制在所需范围内;且复温速率快;两组患者复温时鼻咽温度、直肠温最大温差差异有统计学意义(P<0.05).结论 CPB期间应用七氟醚复温时间短而均衡.

关 键 词:七氟醚  心肺转流  低温

Effects of sevoflurane given during cardiopulmonary bypass on cooling and rewarming
JIA Zai-shen,LIU Rui-fang,JI Bing-yang,et al.. Effects of sevoflurane given during cardiopulmonary bypass on cooling and rewarming[J]. The Journal of Clinical Anesthesiology, 2009, 25(10)
Authors:JIA Zai-shen  LIU Rui-fang  JI Bing-yang  et al.
Affiliation:JIA Zai-shen,LIU Rui-fang,JI Bing-yang,et al.Department of Extracorporeal Circulation,Affiliated Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China
Abstract:Objective To observe the effects of sevoflurane given during cardiopulmonary bypass(CPB)on cooling and rewarming.Methods Sixty adults underwent cardiac valve replacement were randomly divided into two groups with 30 cases each.During CPB,group A was given sodium nitroprusside for the control of blood pressure,while those in group B continuously insufflated 0.25%-0.5% sevoflurane according to the changes of blood pressure.Results Compared to group A,blood pressure in group B was kept in the expected levels s...
Keywords:Sevoflurane  Cardiopulmonary bypass  Hypothermia  
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