持硬麻醉小切口胆囊切除术中心动过缓的临床分析——附60例报告  

Clinical analysis of bradycardia during minicholecystectomy by continuous epidural-anaesthesia: Report of 60 cases

作　　者：王楷蓉[1] 甘蓉辉[1] 冯坚[1] 

机构地区：[1]成都市第一人民医院麻醉科,成都610016

出　　处：《四川生理科学杂志》2001年第1期34-36,共3页Sichuan Journal of Physiological Sciences

摘　　要：目的:了解持硬麻醉小切口胆囊切除术中的心动过缓特点以便有效防治。方法:对60例心肺功能正常的慢性胆囊炎择期手术成年患者,给予麻醉期间的HR、Bp及心电等持续监测,并比较术前、中、后的心率变化。结果:术中牵拉胆囊时60例心率全都急剧下降至50次/min以下,更有3例降至35次/min,呈危险心动过缓状态,与术前术后比较差异极显著;同时,有半数以上病例伴随Bp下降,其变化较手术前后明显的所有病例需立即给予处理方可恢复。结论:在持硬麻醉下小切口胆囊切除术中应高度重视HR、Bp及心电等变化,以提高麻醉与手术的安全性和成功率。Objective: To know peculiarity of bradycardia during minicholecystectomy by continuous epidural-anaesthesia. Methods: Survey change of heart rate (HR), pulse (P) and blood pressure (Bp) in adult sufferer with chronic-cholecystitis by Electrocardiogram (ECG) and chest X-rays are fond to be normal before, during and after the operation (minicholecystectomy). Results: All sufferer's HR sudden drop under 50/min at gallbladder by pulling during operation, 3 of them drop to 35/min (P<0.001). Bp fell sharply in more than 30 cases (P<0.05). All of them were treated urgently. Conclusions: It is wise to attach great importance to bradycardia during minicholecystectomy by continuous epidural-anaesthesia.

关 键 词：持硬麻醉 小切口胆囊切除 心动过缓 

分 类 号：R614.4[医药卫生—麻醉学]