双侧肺移植术的麻醉处理  

Anesthetic Management for Bilateral Lung Transplantation

作　　者：卿恩明[1] 耿新社[1] 欧阳川[1] 高宇翔[1] 宋瑞蓂[1] 

机构地区：[1]首都医科大学附属北京安贞医院麻醉科,100029

出　　处：《心肺血管病杂志》1998年第3期165-167,共3页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：本文报告1例在体外循环下行双侧肺移植术的麻醉体会。采用γ-OH40mg/kg，哌库溴铵0.2mg/kg，芬太尼15ug/kg，并间断静注乙托咪酯、γ-OH等维持麻醉，收到了较理想的效果。麻醉前充分准备，术中全面监测、控制液体入量、血管扩张药的应用、移植肺的保护等措施是麻醉成功的关键。Some experiences about anestheSia for a case of bilateral lung transplantation under extracorporeal circulation were recommended here. The anestheSia was induced by γ- OH 40mg/kg, arduan 0. 2 mg/kg and fentanyl 15 ug/kg. Fentanyl 65 ug/kg, arduan 0. 3mg/kg were infUSed continuously and etomidate, γ- OH were injected intermittently for anesthetic maintenance. Satisfactory results of anesthesia were obtained by this method. A successful anesthesia for a bilateral lung transplantation was related with such factors: perfect preparation of anesthesia,the universal monitoring during SUrgery, the fluid control, the application of vasodilators, and protection of transplanted lungs.

关 键 词：肺移植术 麻醉 体外循环 

分 类 号：R655.3[医药卫生—外科学] R614[医药卫生—临床医学]