摘要
目的 探讨非体外循环冠脉搭桥术的麻醉处理。方法 对 8例冠心病患者行非体外循环冠脉搭桥术 ,麻醉诱导用咪唑安定、芬太尼、利多卡因和司可林。用异丙酚、芬太尼、安氟醚和万可松维持麻醉。手术期间静脉持续输注硝酸甘油。术中监测血流动力学和 ECG、Sp O2 。结果 8例患者血流动力学稳定 ,无 1例改行体外循环。平均手术时间 (118.75± 18.85 ) min,术后拔管时间 (8.93± 4 .94 ) h。结论 非体外循环冠脉搭桥术采用平衡麻醉和静吸复合麻醉 。
Objective To explore the anesthetic management for off pump coronary artery bypass grafting(CABG) surgery.Methods Eight patients with coronary artery disease underwent off pump CABG,intravenous inhalation anesthesia with midazolam,fentany1,propofol,vecuronium and enflurane.Intravenous infusion of nirtroglycerin was performed continously during surgery.ECG,SpO 2,T,ACT and hemodynamics were monitored intraoperatively.Results All patients had stable hemodynamics without cardiopulmonary bypass.The average surgery time was 118.75±18.85 minutes and the average postoperative extubation time was 8.93±4.94 hours.Conclusion The balanced anesthesia of intravenous inhalation anesthesia are applied for off pump CABG.The key points of the anethatic management are maintenance of hemodynamic stability and balance of myocardial oxygen supply and consumption.
出处
《淮海医药》
2003年第4期264-265,共2页
Journal of Huaihai Medicine
