| 体外循环下冠脉旁路移植术的体会 |
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| 引用本文： | 殷惠新,方才,陈昆洲. 体外循环下冠脉旁路移植术的体会[J]. 安徽医学, 2002, 23(2): 18-20. DOI: 10.3969/j.issn.1000-0399.2002.02.011 |
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| 作者姓名： | 殷惠新 方才 陈昆洲 |
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| 作者单位： | 230001,合肥,安徽省立医院麻醉科 |
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| 摘 要： | 目的10例冠心病患者在气管内麻醉下施行体外循环冠脉旁路移植术(CABG).方法以大剂量芬太尼静脉麻醉为主,维持MAP 90～102 mmHg,HR 50～60 bpm/min,RPP＜12 000.灌注用含钾晶体冷停跳液保护心肌,心脏复跳后输注正性肌力药、扩冠药.结果术后无并发症,6例患者ECG示心肌缺血明显改善.结论大剂量芬太尼静脉麻醉用于CABG是一种较好麻醉方法.
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| 关 键 词： | 麻醉 体外循环 冠脉移植 |
| 修稿时间： | 2000-03-27 |
Experiences of anesthesia about coronary artery bypass grafting under cardiopulmonary bypass |
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| Yin Huixin,Fang Cai,Chen Kunzhou. Experiences of anesthesia about coronary artery bypass grafting under cardiopulmonary bypass[J]. Anhui Medical Journal, 2002, 23(2): 18-20. DOI: 10.3969/j.issn.1000-0399.2002.02.011 |
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| Authors: | Yin Huixin Fang Cai Chen Kunzhou |
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| Affiliation: | Yin Huixin,Fang Cai,Chen Kunzhou Department of Anesthesia,Anhui Provincial Hospital,Hefei 230001 |
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| Abstract: | Objective To evaluate the value of a large dosage of fentany1 adminstration intravenously for coronary artery bypass graftingc (GABG) surgery. Methods 10 patients with coronary heart disease were scheduled for CABG under cardiopulmonary bypass and anesthesized mainly with a large dosage of fentany1.During anesthesia, MAP,HR,RPP were maintained at levels of 90～120 mmHg,50～60 bPm/min and <12 000,respectively. For myocardial protection, the hearts were perfused with cold crystal cardioplegia contained with postassium. Positive intropic and coronary artery-dilated medicines were used after the heart rebeat.Results After operation, no complications were found and ECG of 6 cases showed that myocardial ischemia had been improved.Conclusion Anesthesia with large dosage of fentanyl injected intravenously is a effective way for CABG surgery. |
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| Keywords: | Anesthesia Fentanyl Cardiopulmonary bypass Coronary artery bypass grafting |
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