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胸腔镜辅助右侧开胸小切口微创二尖瓣手术的麻醉处理 被引量:1
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作者 殷玲 李清 +2 位作者 timo rinne 于泳浩 王国林 《临床麻醉学杂志》 CAS CSCD 北大核心 2011年第11期1132-1133,共2页
近10年来,随着微创技术的不断发展和微创器材的不断改善,使具有创伤小、恢复快、更加美观等优点的微创二尖瓣手术逐渐受到重视,而围术期的麻醉处理是确保手术顺利开展的重要组成部分。现将芬兰坦佩雷大学心脏中心胸腔镜辅助下右侧开... 近10年来,随着微创技术的不断发展和微创器材的不断改善,使具有创伤小、恢复快、更加美观等优点的微创二尖瓣手术逐渐受到重视,而围术期的麻醉处理是确保手术顺利开展的重要组成部分。现将芬兰坦佩雷大学心脏中心胸腔镜辅助下右侧开胸微创二尖瓣手术的麻醉处理总结如下。 展开更多
关键词 二尖瓣手术 微创技术 胸腔镜辅助 麻醉处理 右侧开胸 小切口 心脏中心 围术期
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Sevoflurane preconditioning and postconditioning attenuate apoptosis induced by ischemia-reperfusion in rat lung
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作者 Qing Li Su-pin Zhang +2 位作者 timo rinne Yong-hao Yu Guo-lin Wang 《中国现代医学杂志》 CAS CSCD 北大核心 2011年第6期718-726,共9页
Objective To investigate the effect of sevoflurane preconditioning and postconditioning on lung ischemia-reperfusion(IR) injury and apoptosis in rat.Methods Wistar rats were randomly assigned to four groups:sham group... Objective To investigate the effect of sevoflurane preconditioning and postconditioning on lung ischemia-reperfusion(IR) injury and apoptosis in rat.Methods Wistar rats were randomly assigned to four groups:sham group(n =6):no ischaemia-reperfusion;IR group(n =6):left lung ischemia was achieved by clamping the hilum for 90 min,followed by 120 min reperfusion;sev+pre group(n =6):1 minimum alveolar concentration(MAC) sevoflurane was admi-nistered for 30 min prior to ischemia;sev+post group(n =6):ischemia was followed by 1 MAC sevoflurane postconditioning at the first 30 min reperfusion.PaO2 was measured after reperfusion.The number of apoptotic cells was estimated using the terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick-end labeling(TUNEL) technique.Results After ischemia-reperfusion,a significant deterioration of PaO2 was noticed and the number of apoptotic cells remarkably increased compared with that of sham group.In sev+pre group and sev+post group,PaO2 was(85.7±14.4) mmHg and(88.6±12.5) mmHg respectively,which was apparently increased compared with that in IR group [(63.9±11.3) mmHg,P <0.05].The number of apoptotic cells in sev+pre group [(6.94 ± 1.49)%] and sev+post group [(7.69 ± 1.61)%] was significantly lower than that in IR group [(12.12 ± 2.77)%,P <0.05].But all parameters showed no significant difference between sev+pre group and sev+post group.Conclusions Both sevoflurane preconditioning and postconditioning could prevent lung ischemia-reperfusion injury and attenuate apoptosis in rat. 展开更多
关键词 ischemia-reperfusion induced injury APOPTOSIS SEVOFLURANE PRECONDITIONING POSTCONDITIONING
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