| 脑动脉瘤术中吲哚菁绿相关问题及麻醉管理 |
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| 引用本文： | 石少玲,王善秋. 脑动脉瘤术中吲哚菁绿相关问题及麻醉管理[J]. 国际麻醉学与复苏杂志, 2017, 38(8). DOI: 10.3760/cma.j.issn.1673-4378.2017.08.015 |
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| 作者姓名： | 石少玲 王善秋 |
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| 作者单位： | 重庆医科大学附属第一医院麻醉科,400016 |
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| 基金项目： | The Ministry of Health's National Clinical Priority Building Project，Chongqing Key Disciplines Project [Chongqing Health Education (2007)2]卫生部国家临床重点专科建设项目，重庆市重点学科项目 |
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| 摘 要： | 背景 整合显微镜的吲哚菁绿(indocyanine green,ICG)荧光造影技术应运而生,因其价廉、操作简单、可重复等优点,现已广泛应用于评价颅内动脉瘤夹闭手术的夹闭效果,但临床上也会有过敏、一过性SpO2下降、渗漏等相关问题,给麻醉医师围手术期工作带来新的挑战.目的 为ICG在动脉瘤术中应用的麻醉管理提供参考.内容 综述ICG血管造影在动脉瘤术中的研究进展以及可能出现的副作用及其防止策略.趋向 ICG血管造影能够安全、有效地评估动脉瘤夹闭效果,将广泛应用于颅内动脉瘤夹闭手术.
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| 关 键 词： | 吲哚菁绿 脑血管造影术 动脉瘤 术中管理 |
Indocyanine green related problems and management in anesthesia during cerebral aneurysm surgery |
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| Shi Shaoling,Wang Shanqiu. Indocyanine green related problems and management in anesthesia during cerebral aneurysm surgery[J]. international journal of anesthesiology and resuscitation, 2017, 38(8). DOI: 10.3760/cma.j.issn.1673-4378.2017.08.015 |
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| Authors: | Shi Shaoling Wang Shanqiu |
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| Abstract: | Background Indocyanine green (ICG) fluorescence imaging integrated with microscope came into being.Due to the low cost,simple operation,repeatability and other advantages,it has been widely applied in the evaluation of clipping effect in intracranial aneurysm clipping surgery.But ICG also has disadvantages such as allergies,transient SpO2 decrease and leakage,which bring new challenge to use it during the perioperative period.Objective Providing reference for the anesthetic management of ICG in aneurysm surgery.Content The research advances in aneurysm surgery in ICG angiography and possible adverse reactions and strategy for prevention.Trend Application of ICG angiography in evaluation of the aneurysm clipping effect is safe and effective.It will be widely used in intracranial aneurysm clipping surgery. |
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| Keywords: | Indocyanine green Cerebral angiography Aneurysm Intraoperative management |
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