摘要
目的 :介绍激光心肌打孔术的麻醉处理。方法 :6例冠心病心绞痛病人 ,实施激光心肌打孔术 ,采用异丙酚 2 3～ 3mg·kg-1,芬太民 0 2～ 0 3mg ,万可松 4mg诱导 ,气管插管 ,行IPPV机械通气。麻醉维持采用 2 %普鲁卡因 2 5 0ml,芬太尼 0 5～ 0 7mg,万可松 16～ 2 0mg复合液静滴 ,并吸入 1%～ 2 %安氟醚。结果 :发现除插管时sBp与麻醉前比较差异极显著外 (P <0 .0 1) ,诱导 ,插管及手术各时段循环各参数均平稳 ,与麻醉前比较无显著性差异 (P >0 .0 5 )。结论
WT5”BZ]Objective:The experience of anesthetic management during transmyocardial laser revascularization was introduced(TMLR).Method:Six patients suffered with angina pectoris who received TMLR,induced with propofol 2 3～3mg.kg -1 ,fentany10 2～0 3mg,vercuronium 4mg.After intubation,the patients were ventilated with IPPV.2% procaine complex solution (fentanyl 0 5～0 7mg and vercuronium 16～20mg in 250ml) was dripped intravenously and 1～2% enflurane was inhaled for maintenance of the anesthesia.Result:The hemodynamics was stable during induction,intubation and operation,and there was no signiricant difference compared with that of the preanesthesia,except that there was a significant difference in the systolic blood pressure between the intubation and preanesthesia periods Conclusion:This kind of intravenous-inhaled anesthetic technique is useful for TMLR. [WT5”HZ]
出处
《华西医学》
CAS
2000年第2期161-162,共2页
West China Medical Journal
关键词
心绞痛
激光心肌打孔术
麻醉
Angina pectoris
Laser
Transmyocardial revascularization anesthesia.
