| 药物降压配合腰麻-硬膜外联合阻滞麻醉用于主动脉腔内隔绝术 |
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| 引用本文： | 陈万成,刁玉刚,刘晓江,张铁铮,王凤学,荆全民.药物降压配合腰麻-硬膜外联合阻滞麻醉用于主动脉腔内隔绝术[J].实用药物与临床,2009,12(2). |
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| 作者姓名： | 陈万成 刁玉刚 刘晓江 张铁铮 王凤学 荆全民 |
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| 作者单位： | 1. 沈阳军区总医院麻醉科,沈阳,110016
2. 沈阳军区总医院心血管内科,沈阳,110016 |
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| 摘 要： | 目的探讨药物降压配合腰麻-硬膜外联合阻滞麻醉应用于主动脉腔内隔绝术(EVGE)的可行性。方法对我院70例Stanford B型夹层动脉瘤患者采用药物降压配合腰麻-硬膜外联合阻滞麻醉,回顾性分析其临床监测指标。结果全部患者在腰麻-硬膜外联合阻滞麻醉下顺利完成手术,除1例在ICU中因动脉瘤体内压较高致瘤体破裂而死亡外,余皆存活。全组患者血压控制满意,未出现严重心律失常,亦无麻醉意外发生。术后无硬膜外血肿等椎管内麻醉并发症。结论严格控制阻滞平面和血压,腰麻-硬膜外联合阻滞麻醉用于EVGE安全可行。
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| 关 键 词： | 控制性降压 腰麻-硬膜外联合阻滞麻醉 主动脉腔内隔绝术 |
Analysis of endovascular graft exclusion undergoing combined spinal-epidural anesthesia with controlled hypotension |
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| CHEN Wan-cheng,DIAO Yu-gang,LIU Xiao-jiang,ZHANG Tie-zheng,WANG Feng-xue,JING Quan-min.Analysis of endovascular graft exclusion undergoing combined spinal-epidural anesthesia with controlled hypotension[J].Practical Pharmacy and Clinical Remedies,2009,12(2). |
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| Authors: | CHEN Wan-cheng DIAO Yu-gang LIU Xiao-jiang ZHANG Tie-zheng WANG Feng-xue JING Quan-min |
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| Institution: | a.Department of Anesthesiology;b.Department of Cardiology;The General Hospital of Shenyang Command PLA;Shenyang 110016;China |
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| Abstract: | Objective To approach the feasibility of combined spinal-epidural anesthesia(CSEA) with controlled hypotension adopted in endovascular graft exclusion(EVGE).Methods70 cases of Stanford B typed dissecting aneurysm undergoing CSEA were analyzed retrospectively.ResultsOperations were completed successfully under CSEA.All the patients survived except one patient(died of aneurysm rupture in ICU).The blood pressure was controlled smoothly,no serious cardiac arrhythmias was observed,and no anesthetic accident happ... |
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| Keywords: | Controlled hypotension Combined spinal-epidural anesthesia Endovascular graft exclusion |
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