| 紫绀型与非紫绀型先天性心脏病患儿七氟醚吸入诱导效果的比较 |
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| 引用本文： | 刘亚光,欧阳川,曹译匀,赵丽云.紫绀型与非紫绀型先天性心脏病患儿七氟醚吸入诱导效果的比较[J].临床麻醉学杂志,2011,27(7). |
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| 作者姓名： | 刘亚光 欧阳川 曹译匀 赵丽云 |
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| 作者单位： | 1. 首都医科大学附属安贞医院麻醉科,100029
2. 宁夏医科大学附属医院麻醉科 |
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| 摘 要： | 目的比较七氟醚在紫绀型与非紫绀型先天性心脏病患儿的吸入诱导效果。方法先天性心脏病紫绀型患儿20例(A组)与非紫绀型患儿23例(B组),面罩吸入6%七氟醚诱导,记录睫毛反射消失时间及脑电双频指数(BIS)值;观察RR、VT、PETCO2、SpO2及气管插管前后MAP与HR变化。结果 A组睫毛反射消失时间(77.9±34.2)s,明显长于B组的(41.0±18.0)s(P<0.01),且与PETCO2、SpO2均呈负相关关系(r=-0.669,P<0.05;r=-0.789,P<0.01);VTA组明显高于B组(P<0.05),而RR明显慢于、PETCO2及SpO2均明显低于B组(P<0.05)。两组BIS差异无统计学意义。结论七氟醚对紫绀型患儿诱导时间较长,但较非紫绀型呼吸抑制作用轻。
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| 关 键 词： | 七氟醚 麻醉诱导 患儿 先天性心脏病 |
Comparison of sevoflurane in induction in infants with cyanotic and non-cyanotic congenital heart diseases undergoing cardiac surgeries |
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| LIU Ya-guang,OUYANG Chuan,CAO Yi-yun,et al..Comparison of sevoflurane in induction in infants with cyanotic and non-cyanotic congenital heart diseases undergoing cardiac surgeries[J].The Journal of Clinical Anesthesiology,2011,27(7). |
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| Authors: | LIU Ya-guang OUYANG Chuan CAO Yi-yun |
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| Institution: | LIU Ya-guang,OUYANG Chuan,CAO Yi-yun,et al.The Department of Anesthesiology,Anzhen Hospital,Capital Medical University,Beijing 100029,China |
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| Abstract: | Objective To compare the effect of sevoflurane in induction in infants with cyanotic and non-cyanotic congenital heart disease undergoing cardiac surgeries.Methods Twenty infants with cyanotic(group A) and twenty-three with non-cyanotic congenital heart disease(group B) were scheduled for cardiac surgeries under 6% sevoflurane anesthesia induction.Following variables were recorded: the time when the eyelash reflex disappeared,bispectral(BIS) index,RR,VT,PETCO2,SpO2,MAP and HR before and after tracheal intub... |
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| Keywords: | Sevoflurane Anesthetic induction Infant Congenital heart disease |
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