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重症心脏瓣膜置换术49例围麻醉期处理
引用本文:胡有力,傅诚章.重症心脏瓣膜置换术49例围麻醉期处理[J].南京医科大学学报,1997(3).
作者姓名:胡有力  傅诚章
作者单位:南京医科大学第一附属医院麻醉科
摘    要:对49例重症心脏瓣膜病病人行换瓣手术。结果发现:术后发生低钾血症31例,频发室早14例,室颤7例,因低心排综合征、严重心律失常等原因死亡11例。讨论了重症心脏瓣膜病的诊断标准,并对围麻醉期的处理进行临床分析。

关 键 词:心脏瓣膜病  瓣膜置换术  体外循环  麻醉

Perianesthetic Treatment of 49 Patients with Severe Valvular Heart Disease Undergoing Heart Valve Replacement
Hu Youli,Fu Chengzhang.Perianesthetic Treatment of 49 Patients with Severe Valvular Heart Disease Undergoing Heart Valve Replacement[J].Acta Universitatis Medicinalis Nanjing,1997(3).
Authors:Hu Youli  Fu Chengzhang
Institution:Hu Youli,Fu Chengzhang Department of Anesthesiology,The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029
Abstract:An analysis was made on the valve replacement operation on 49 patients with severe valvular heart disease. The results show that after operation there were 31 cases of hypokaliemia and 14 cases of frequent ventricular premature beat, 7 ventricular fibrillation. There were 11 deaths. Diagnosis standards of severe valvular heart disease and analysis of its clinical perianesthetic treatment are discussed.
Keywords:heart valvular disease  valve replacement  extracorporeal circulation  anesthsia
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