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小儿先天性心脏病快通道麻醉的临床体会

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摘要 目的观察小儿先天性心脏病快通道麻醉的安全性与可行性。方法选择6月~10岁先天性心脏病患儿45例。手术方法包括:全麻低温提外循环下室间隔缺损修补术,房间隔缺损修补术,合并二尖瓣关闭不全则行成型术,合并肺动脉狭窄行矫治术,动脉导管常温下行动脉导管结扎术。诱导用芬太尼,维库溴铵。气管插管后右颈内静脉穿刺置管测压,根据病情泵血管活性药。结果所有患儿均在术毕30min内拔管,平均20min回病房后无二次插管,血流动力学平稳,未出现严重心律失常。结论对于心功能良好的不太复杂的小儿先天性心脏病患儿实施快通道麻醉技术是安全的。
出处 《医学信息(手术学分册)》 2008年第3期273-274,共2页 Medical Information Operations Sciences Fascicule
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  • 1[1]Ovrum E,Tangen G,schiott C,et al,Rapid recovery protocal applied to 5658 consecutive"on-pump"coronary bypass patients[J].Ann Thorac Surgery,2000,70(6):2008-2012.
  • 2[2]Verrier ED,Wright IH,Cochran RP,et al.Changes in Cardiovascular surgical approaches to achieve early extubation[J].J Cardiothorac Vasc Anesth,1995,9(5):10.
  • 3[3]Quasha AL,Loeber N,Feeley TW,et al.Postoperative respiratory care:a controlled trial of early and late extubation following coronary artery bypass grafting[J].Anesthesiology,1980,52:135.
  • 4[4]Ben-Haim SA,Amar R,Shofty R,et al.Low positive and expiratory pressures improve the left ventricular workload versus coronary blood flow relationship[J].J Cardiovasc Surg,1991,32:239.
  • 5[5]Nicholson DJ,Kowalski SE,Hamilton GA,et al.Postopertive pulmonary fuction in CABG patients undergoing early tracheal extubation[J].A comparison between short-term mechanical ventilation and immediate extubation[J].Anesth Analy,1999,88(45):124.
  • 6[6]Kirklin JK,Westaby S,Blakstone EH,et al.Complement and the damaging effects of Cardiopulmonary bypass[J].J Thorac Cardiovasc Surg,1983,86:845-857.
  • 7[7]Warhier,David C MD.A systematic Review of the safty and Effectiveness of Fast-track Cardiac Anesthesia[J].Anesthesiology Volume,2003,99(4):982-987.

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