摘要
本文总结23例冠状动脉搭桥术同时行心脏瓣膜置换术的麻醉。20例术前有ST-T改变。选用对循环影响轻的麻醉方式。用大剂量芬太尼麻醉,复合异丙酚,氨氟醚维持,效果良好。术中应用硝酸甘油,硝普钠降低前后负荷。体外循环后7例低心排病人用多巴肢和10例心动过缓病人用异丙肾上腺素治疗,效果显著。
The experience of anesthetic management for 23 patients undergoing coronary artery bypass grafting (CABG) Combined with valve replacement are summarized in this paper. Twenty of the patients had ST-T abnormalities preoperatively. Anesthesia was maintained with high - dose fentanyl and supplemented with propofol and enflurane. An intravenous infusion of nitroglycerin and sodium nitroprusside was given for decreasing preload and afterload during the Operation. After cardiopulmonary bypass (CPB): dopamine was infused for correction Of low cardiac output in 7 patients with good results. In 10 Patients isoprenaline was used for correcting the bradycardia after CPB.
出处
《心肺血管病杂志》
CAS
1998年第3期168-169,共2页
Journal of Cardiovascular and Pulmonary Diseases