心脏双瓣膜置换术的麻醉处理

ANESTHETIC MANAGEMENT IN DOUBLE CARDIAC VALVE REPLACEMENT

报告３２例心脏双瓣膜置换术的麻醉处理。全组采用以芬太尼为主的静吸互补麻的，体外循环后联合应用多巴胺、硝普钠。术中血压、心中基本平稳，无麻醉死亡。本文强调应根据病人血液动力学的改变合理选择麻砰药物，以减损心血管功能降至最低限度为原则。

The paper reports the anesthetic management of 32 cases of double cardiac valve replacement All the patients were given supplemental anesthesia with fentanyl as the chief anesthetic and some dopamine and sodium nitroprusside after the cardiopulmonary bypass.Their blood pressue and heart rates changed slightly and on death occurred due to anesthesia.The study suggested that the anesthetic agents be chosen properly in accordance with hemodynamc changes to minimize the impairmentof the cardiovascular functions of the patients.