摘要
目的 :探讨小切口不停跳心内直视手术的麻醉处理。方法 :回顾性分析 2 3 5例小切口不停跳体外循环下心脏手术的麻醉。结果 :全组早期死亡 3例 ,死亡率 1.2 8%。术中血流动力学稳定 ,42例患者心内畸形矫正后应用正性肌力药。 96.17%( 2 2 6/2 3 5 )患者术后 4h内拔除气管导管。术后无空气栓塞、神经系统并发症或麻醉死亡病例。结论 :小剂量芬太尼、异氟醚复合麻醉是小切口不停跳心内直视手术的一种较好的麻醉方法 ,术中应注意彻底排气。
Objective:To evaluate the anesthetic management of minimally invasive open heart surgery on beating heart during cardiopulmonary bypass.Methods:235 patients underwent elective repair of congenital heart defects with cardiopulmonary bypass through minimally invasive open-heart surgery on beating heart.All patients were anesthetized with low dose of fentanyl and isoflurane.Anesthetic records were reviewed and analyzed.Results:The early mortality was 1.28%.Extubation was successfully done within 4h postoperatively in 96.17% patients.There was no air embolism,neurologic complication or anesthesia-related death.Conclusion:Low dose of fentany1 combined with isoflurane anesthesia may provide adequate anesthetic depth and early extubation in patients undergoing minimally invasive open-heart surgery on beating heart.
出处
《西北国防医学杂志》
CAS
2003年第1期40-41,共2页
Medical Journal of National Defending Forces in Northwest China
关键词
小切口不停跳心内直视手术
麻醉
心脏手术
体外循环
Anesthesiology
Cardiac surgery
Cardiopulmonary bypass
Minimally invasive surgery
