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硬膜外阻滞预防急性心肌梗死后心电紊乱的对比研究 被引量：1

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摘要 目的　本文观察 9例急性心肌梗死患者 ,实行高位硬膜外阻滞后心电紊乱的发生情况。方法　是采用 0 5～ 0 75 %利多卡因 ,2～ 4h推注 5～ 7ml,连用 7d。结果　治疗组仅发生室上速 1例次 ,而对照组则发生 12例次。经统计学处理 ,两组差异显著 ,P <0 0 1,结论　本法有较强的预防急性心肌梗死后发生心电紊乱的作用。
作者 栾霁冬 韦南 刘金秀 陈武玲
机构地区 哈尔滨市第四医院 哈尔滨医科大学第一临床医学院
出处 《黑龙江医学》 2001年第11期818-818,共1页 Heilongjiang Medical Journal
关键词 硬膜外阻滞 心电紊乱 急性心肌梗塞 交感神经
分类号 R614.42 [医药卫生—麻醉学] R542.22 [医药卫生—心血管疾病]
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参考文献5

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同被引文献11

  • 1Canyon SJ, Dobson GP. Pretreatment with an adenosine A1 receptor agonist and lidocaine:a possible alternative to myocardial ischemic preconditioning[J]. J Thora Cardio- vasc Surg, 2005,130(2) : 371-377.
  • 2Nilsson MF, Ritchie H, Webster WS. The effect on rat embryonic heart rate of Na+, K+, and Ca2+ channel blockers, and the human teratogen phenytoin, changes with gestational age[J]. Birth Defects Res B Dev Reprod Toxicol, 2013,98(5) :416-427.
  • 3Gangully PK, Dhalla KS, Shao Q, et al. Deferential chan- ges in sympathetic activity in left and right ventricles in congestive heart failure myocardial infarction [J]. Am Heart J,1997,133(3) :340-345.
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  • 5Zhou SM,Jung BC, Tan AY, et al. Spontaneous stellate ganglion nerve activity and ventricular arrhythmia in a ca- nine model of sudden death[J]. Heart Rhythm, 2008,5 (1) :131-139.
  • 6Yu L, Scheriag BJ, Li S, et al. Low level vago-sympathetic nerve stimulation inhibits atrial fibrillation inducibility: di- rect evidence by neural recordings from intrinsic cardiac ganglia[J]. J Cardiovasc Electrophysiol, 2011,22 (4) : 455- 463.
  • 7Jayachandran JV, Sih HJ, Winkle W, et al. Atrial fibrilla- tion produced by prolonged rapid atrial pacing is associat- ed with heterogeneous changes in atrial sympathetic in- nervation[J]. Circulation, 2000,101 (10) .- 1185-1191.
  • 8Mitchell SJ, Merry AF,Frampton CA, et al. Cerebral pro- tection by lidocaine during cardiac operations:a follow-up study[J]. Annals of Thoracic Surgery, 2009,87 (3) : 820-825.
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二级引证文献9

黑龙江医学
2001年 第11期

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