主冠动脉旁路手术麻醉管理  

ANESTHESIA MANAGEMENT OF CORONARY ARTERIAL BYPASS GRAFT SURGERY

作　　者：王宽[1] 蒋建渝[1] 靳凤玲[1] 赵艳 王军[1] 

机构地区：[1]北京医科大学第三医院麻醉科,100083

出　　处：《北京医科大学学报》1997年第1期72-73,共2页Journal of Peking University(Health Sciences)

摘　　要：目的：探讨主冠动脉套路手术麻醉的管理。方法：对39例临床麻醉病例行回顾性分析。结果：主冠动脉旁路手术麻醉期间，维持循环动力学稳定的综合措施包括：硝酸甘油持续静点；麻醉诱导以大剂量芬太尼为主，强调缓慢诱导给药及随时调整药量；转流结束前及时联合应用血管扩张药和正性肌力药；心肌保护则推荐低温含氧合血停跳液。结论：主冠动脉旁路手术麻醉管理应采取综合措施，维持循环动力学稳定和良好的心肌保护。To discuss the anesthesia management of coronary arterial bypass graft surgery.Methods: Retrospective study in 39 cases. Results: ln maintaining the stability of hemodynamics duringCABG, we recommended(1) Nitroglycerin intravenous be used from the patients going to the O. R. tothose going on CPB. (2) Large doses Fentanyl for induction work successfully and slow induction beemphasized to regulate the agents. (3) Vasodilator combined with inotropic agents be used before coming off CPB. (4) Oxygenated cold cardioplegic solution be perfused for myocardiac protection. Conclusion: For anesthesia management of CABG we emphasized the comprehensive steps to maintain tohemodynamic stability and the myocardiac protection.

关 键 词：主动脉 冠状动脉 分流术 麻醉 

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