| 心内直视术期间脑血流的观察与研究 |
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| 引用本文： | 陈杰,孙大金.心内直视术期间脑血流的观察与研究[J].中华麻醉学杂志,1994,14(2):83-86. |
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| 作者姓名： | 陈杰 孙大金 |
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| 作者单位： | 徐州第一人民医院麻醉科!221002(陈杰)，上海第二医科大学附属仁济医院麻醉科(孙大金，杭燕南，丁美修) |
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| 摘 要： | 观察和研究了１８例成人心内直视术期间脑血流变化规律及其影响因素。脑血流以经颅多普勒（ＴＣＤ）测定大脑中动脉血流平均速度Ｖｍ。结果表明：心脏功能明显影响Ｖｍ，麻醉可致Ｖｍ下降２６．３％±１６．７％，但某些心功能很差的患者Ｖｍ增快，体外循环转流中较转流前Ｖｍ下降４２．７％，转流期间 Ｖｍ受体温、转流流量、通气、血液稀释等因素影响，体外循环毕较转流前 Ｖｍ提高 １８． １％。因此，许多因素影响心内直视术期间脑血流。ＴＣＤ是目前研究麻醉期间脑血流及其影响因素较好的方法。
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| 关 键 词： | 麻醉 心内直视术 脑血流 |
Observation of CBF during open-heart surgery. |
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| Chen Jie,Sun Dajin,Hang Yannan,etal..Observation of CBF during open-heart surgery.[J].Chinese Journal of Anesthesilolgy,1994,14(2):83-86. |
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| Authors: | Chen Jie Sun Dajin Hang Yannan etal |
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| Abstract: | CBF and its influenced factors were studied in 18 adult patients during open-heart surgery. The CBFV of middle cerebral artery was measured by transcranial doppler (TCD). The results showed that: (1 )The cardiac function significantly affects CBFV (P
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| Keywords: | Anesthesia Open-heart surgery CBF |
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