摘要
近年来,为了减少腹腔镜下子宫肌瘤剔除术中出血,常在宫体局部注射垂体后叶素。然而在临床工作中却发现注射垂体后叶素后会引起患者剧烈的血流动力学波动,增加心血管反应的发生率。提高对垂体后叶素诱发腹腔镜下子宫肌瘤剔除术患者心血管反应的重视,减少或避免因其导致的剧烈的血流动力学波动,有助于提高麻醉质量和围术期安全性。本文结合相关文献,就垂体后叶素诱发的心血管反应的临床表现、可能机制及近年来临床上的处理方法作一综述。
In recent years, in order to reduce intraoperative bleeding during laparoscopicmyomectomy, pituitrinusuallywas injected into the site of hysteromyoma. However, in clinical work, we found that hemodynamic fluctuations were caused after the injection of pituitrin and the incidence of cardiovascular responses were also increased.To highlight the importance of pituitrin-induced cardiovascular responses in patients undergoing laparoscopic myomectomy, decrease or avoid the hemodynamic fluctuations induced by it, which is helpful of improvingthe quality of anesthesia and perioperative safety.In this review, we describe the clinical feature, possible mechanism and recent treatment of pituitrin-induced cardiovascular responses referring some related literature.
出处
《当代医学》
2015年第5期12-14,共3页
Contemporary Medicine
