| 体外循环心内直视手术麻醉1800例回顾 |
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| 引用本文： | 李桂科,曾祥龙,陈菊云,吴宝林,宋青,史蔚然. 体外循环心内直视手术麻醉1800例回顾[J]. 医学争鸣, 1990, 0(3) |
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| 作者姓名： | 李桂科 曾祥龙 陈菊云 吴宝林 宋青 史蔚然 |
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| 作者单位： | 西京医院麻醉科(李桂科，曾祥龙，陈菊云，吴宝林，宋青)，西京医院胸外科(史蔚然) |
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| 摘 要： | 我院自1958年6月开展体外循环心内直视手术麻醉,至今已累积1800例。麻醉方法:1958～1974年为吸入麻醉138例,1975～1982年为吗啡麻醉373例,1983～1987年为芬太尼麻醉1289例。无麻醉死亡。我们的体会是:麻醉的重点和难点在麻醉诱导置管;切皮、纵劈胸骨手术刺激最强;灌注前心脏直接受刺激易激惹,各大血管插管分流易造成心律紊乱及低血压。原则上要分阶段用药,预防为主。
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| 关 键 词： | 体外循环 麻醉 心内直视手术 乙醚 吗啡 芬太尼 异氟醚 |
Summarizing 1800 Cases of Anesthesia for Open Heart Surgery Under Extracorporeal Circulation |
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| LI Gui-Ke ZENG Xiang-Long CHEN Ju-Yun WU Bao-Lin and SHI Wei-Ran. Summarizing 1800 Cases of Anesthesia for Open Heart Surgery Under Extracorporeal Circulation[J]. Negative, 1990, 0(3) |
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| Authors: | LI Gui-Ke ZENG Xiang-Long CHEN Ju-Yun WU Bao-Lin and SHI Wei-Ran |
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| Affiliation: | LI Gui-Ke ZENG Xiang-Long CHEN Ju-Yun WU Bao-Lin and SHI Wei-Ran Department of Anaesthesiology and Department of Cardiovascular Surgery,Xijing Hospital |
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| Abstract: | Since the first case of open heart surgical procedure was performedin June 1958 in our hospital, 1 800 cases of This surgay were performed The anacsthestic methods included inhalation anesthesia, which was used for 138 cases from 1958 to 1974, morphine anesthesia, which was used for 373 cases from 1975 to 1982, and fentanyl anesthesia, which was used for 1 289 cases from 1983 to 1987. No death was caused by anesthesia .We conclude that the more important and difficult points on anaesthesia are induction of anaesthesia and trachea! intubation, and skin incision and median stemotamy are most stimulant because the aorta and caval veirfi are shunted by the catheters, hypotension and arrhythermas are easily caused before perfusion. Generally, it is better to administer the anaesthetic agents to patients at different stages, but prophylaxis first |
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| Keywords: | extracorporeal calculation anaesthetic method open heart surgery ether morphine fentanyl |
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