重症二尖瓣置换术麻醉诱导方法的探讨

房秀生

doi:10.13406/j.cnki.cyxb.1992.01.012

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重症二尖瓣置换术麻醉诱导方法的探讨

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- 重症二尖瓣置换术麻醉诱导方法的探讨
- DISCUSSION ON METHODS OF ANESTHETIC INDUCTION IN THE HIGH RISK PATIENTS UNDERGOING MITRAL REPLACEMENT
- 重庆医科大学学报 1992年第1期页码：47-50
- 作者机构：
  
  重庆医科大学第一医院麻醉科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.1992.01.012
  中图分类号：
- 纸质出版日期：1992，
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[1]房秀生.重症二尖瓣置换术麻醉诱导方法的探讨[J].重庆医科大学学报,1992(01):47-50.

DISCUSSION ON METHODS OF ANESTHETIC INDUCTION IN THE HIGH RISK PATIENTS UNDERGOING MITRAL REPLACEMENT[J]. Journal of Chongqing Medical University, 1992,(1):47-50.
[1]房秀生.重症二尖瓣置换术麻醉诱导方法的探讨[J].重庆医科大学学报,1992(01):47-50. DOI： 10.13406/j.cnki.cyxb.1992.01.012.

DISCUSSION ON METHODS OF ANESTHETIC INDUCTION IN THE HIGH RISK PATIENTS UNDERGOING MITRAL REPLACEMENT[J]. Journal of Chongqing Medical University, 1992,(1):47-50. DOI： 10.13406/j.cnki.cyxb.1992.01.012.

摘要

本文在60例重症二尖瓣置换术病人中观察了三种麻醉诱导方法对循环功能的影响.患者心功能均为Ⅲ～Ⅳ级.结果发现硫喷妥钠用于心功能差的病人可引起明显的心功抑制.我们认为用安定0.2mg/kg

r-OH50mg/kg、芬太尼8～10μg/kg诱导.用潘侃朗宁0.1～0.2mg/kg或卡肌宁0.5mg/kg插管

诱导平稳而安全.r-OH不宜用于心动过缓的病人.用r-OH后如心率减慢可用阿托品治疗

Abstract

Three methods of anesthetic induction were studied in 60 patients undergoing mitral replacement with cardiac function of class Ⅲ~IV. The patients divided into three groups based on methods of induction. The results showed that thiopen-tothal might further depress their impaired cardiovascular function in both group I and Ⅱ. The results also showed that MAP

and CVP were more stable in group Ⅲ than In group I and Ⅱ . It is suggested that induction of anesthesin using diazepam 0.2mg/kg

r-OH 50mg/kg

fentanyl 8-10ug/kg and pancuronium 0.1-0.2 mg/kg

or atracurium 0.5mg/kg is quite safe especially in patients with poor cardiac reserve. However

r-OH should be avoided in patients with bradycardia

When derease in. HR occurs following the use of r-OH

atropinc should be given intravenously

关键词

芬太尼硫喷妥钠麻醉诱导

Keywords

fentanylThiopentothalAnesthetic induction

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