PENG Mingqing, et al. The anesthetic management of remedy operation for coarctation of aorta in infants and children[J]. Journal of Chongqing Medical University, 2007,(11):1210-1211.
PENG Mingqing, et al. The anesthetic management of remedy operation for coarctation of aorta in infants and children[J]. Journal of Chongqing Medical University, 2007,(11):1210-1211.DOI:
Objective:To discuss the anesthetic management of remedy operation for coarctation of aorta in infants and children.Methods:The anesthetic data of thirty-two patients undergoing remedy operation for coarctation of aorta in infants and children from Jan
2000 to Nov
2006 were reviewed retrospectively.Results:All cases underwent remedy operation for coarctation of aorta under general anaesthesia
controlled hypotension with nitroprusside sodium or glycerol trinitrate
and at low temperature
with the different blood pressure of upper limbs and lower limbs maintained during the operation.When anaesthesia was induction and the aorta blocked
the difference in blood pressure of upper limbs and lower limbs is statistically remarkable(P<0.05)
and after the aorta opened
the blood pressure of upper limbs and lower limbs is no obvious difference(P>0.05).The complication such as acute heart failure
arrhythmia and kidney function failure did not happen except in 3 cases with high blood pressure and 12 cases with hypotension.Conclusions:The key of anesthetic treatment for coarctation of aorta in infants and children should be anesthetic selection
controlled hypotension
low temperature during operation and prevention of complications
关键词
麻醉主动脉缩窄控制性降压低温小儿
Keywords
anesthesiaCoarctation of aortaControlled hypotensionHypothermyPediatrics