心脏移植手术的麻醉体会  

Experience in Anesthesia for Heart Transplantation

作　　者：彭志勇[1] 任永功[1] 王玉英[1] 曾邦雄[1] 

机构地区：[1]武汉同济医科大学附属协和医院麻醉科

出　　处：《同济医科大学学报》1996年第4期317-318,共2页Acta Universitatis Medicinae Tongji

摘　　要：总结１例成功心脏移植手术的麻醉。其麻醉原则与其它心脏手术大致相同。麻醉用药既要保证能阻断应激反应，又要防止对心脏抑制过甚。芬太尼、阿曲库铵为主要的麻醉用药。麻醉操作时要严格无菌，以防止术后感染。术中应选择小潮气量作控制呼吸。要慎重补钾，宁少勿多。选择心血管活性药物时要考虑去神经心脏的生理特点，直接作用于心脏的药物比间接作用的药物对移植心脏更加敏感。The study summaried the experience in anesthesia for a successful heart.transplantation.The principles of anesthesia in heart transplantation are similiar to those in other heart operations, which not only needs to block stress stimulations but also prevents deep depression of cardiac functions.Fentanyl combined with atracurium is an approach of choice, Sterilization is important in preventing post operative infection. Small tidal volume is required for controlling ventilation, Care should taken in infusion of potassium should be desirable.According to the nature of denervated heart, drugs with direct action on heart are more sensitive to the transplantation hearts than those with indirect action on heart.

关 键 词：心脏移植 麻醉 心脏外科手术 

分 类 号：R654.2[医药卫生—外科学] R614[医药卫生—临床医学]