摘要
目的:总结"快通道"麻醉在重症瓣膜置换术中的处理经验。方法:本组48例患者采用小剂量芬太尼加异丙酚持续静脉微泵维持"快通道"麻醉。结果:48例患者开放主动脉后心脏自动复跳32例,经电击除颤后复跳16例。其中安装起搏器19例。41例治愈出院。7例死亡(5例死于术后并发症,2例死于术中复苏失败),死亡率为14.58%。结论:"快通道"麻醉术中循环稳定,术后苏醒快,在重症心脏瓣膜置换手术中不失为一种有效的麻醉方法。
Objective： To summarize the experience of fast-track anaesthesia in cardia valve replacement operation. Methods： Treated 48 patients with fast-track anaesthesia sustained by continuous intravenous administration of small dose fentanyl and prepofol by micro pump. Results： After aortic unclamped, 32 patients had heart resuscitation, 16 patients had heart resuscitation after electric defibrillation. 19 patients had pacemaker, while 41 patients discharged in cure. 7 death cases （ 14.58% ） included 5 postoperative complications and 2 resuscitation failure during surgery. Conclusion： Patients underwent fast-track anaesthesia surgery have stable circulation, rapid recovery after surgery. It is effective in cardia valve replacement operation.
出处
《海南医学院学报》
CAS
2009年第2期160-161,共2页
Journal of Hainan Medical University
