摘要
目的 探讨提高小型猪胰腺十二指肠移植术麻醉管理的相关问题。方法供体和受体小型猪各 2 0只 ,采用氯胺酮加咪唑安定进行基础麻醉 ,氯胺酮加依托咪酯维持麻醉 ;行平均颈内动脉压、中心静脉压及血气的监测。结果小型猪胰腺移植术中麻醉良好 ,受体的平均动脉压在吻合血管开放后有明显下降 ,与开放前有明显差异 (P <0 .0 5 )。中心静脉压和血气指标无明显变化。结论 在小型猪胰腺移植麻醉手术中 ,充分补充血容量、加强循环系统的监测和管理 。
Objective To explore anesthetic management measu re s by investigating experimental pancreatico-duodenal transplantation in miniatu re swines. Method 40 miniature swines were divided randomly into two g roups: 20 as donors and 20 as recipients. Miniature swines were anesthetized wit h ketamin and midazolum and maintained with ketamine and etomidate. At the same time, mean artery pressure (MAP), central venous pressure (CVP) and blood gas were monitored. Results Recipients' MAP was significantly decreased a fter the reopening of inosculated blood vessels. There was significant differenc e than that before the reopening (P<0.05). Other monitored data had no marke dly change. Conclusion Adequate supplement of blood volume and enhance ment of monitoring and management of circular system function are very crucial d uring the anesthesia of pancreas transplantation in miniature swine, especially after the reopening of hte inosculated vessels.
出处
《四川动物》
CSCD
2003年第3期180-182,共3页
Sichuan Journal of Zoology