摘要
目的探讨重症冠脉搭桥手术的适宜麻醉管理方法。方法对30例重症冠脉搭桥患者采用小剂量芬太尼、异丙酚、异氟醚复合全身麻醉,持续监测心电图(ECG)、脉搏、氧饱和度(SpO2)、呼气末二氧化碳(PETCO2)、平均动脉压(MAP)、中心静脉压(CVP)、心输出量(CO)、心脏指数(CI)、外周血管阻力(SVR)、肺血管阻力(PVR)、每搏量(SV)、平均肺动脉压(MPAP)及动脉血气。结果麻醉平稳,围术期血液动力学稳定,术后死亡率为0。结论维持血液动力学的稳定是重症冠脉手术麻醉管理的关键,可降低死亡率和术后并发症。
Objective To summarize the anesthesia management of multiple coronary artery bypass graft. Methods Thirty patients for CABG surgery with small dose fentanyl, propofol, isoflurane combined anesthesia. ECG, SpO2, PETCO2, MAP, CVP, CO, CI, SVR, PVR, SV, MPAP were monitored continuously. Results The hemodynamics was kept stable and surgery mortality was zero. Conclusion It is important to keep the hemodynamics stable, and decrease the incidence of mortality and complications.
出处
《中国现代医药杂志》
2005年第4期3-4,共2页
Modern Medicine Journal of China
