38例缩窄性心包炎患者行心包剥脱术的麻醉处理  

Anesthesia management of 38 contraction pericarditis disease patients with pericardium exfoliate surgery

作　　者：李波[1] 邓劲松[1] 张日英[1] 韦华[1] 李家胜[1] 

机构地区：[1]高州市人民医院麻醉科,广东省525200

出　　处：《中国心血管病研究》2010年第4期279-281,共3页Chinese Journal of Cardiovascular Research

摘　　要：目的总结缩窄性心包炎心包剥脱术的麻醉经验。方法回顾性分析38例缩窄性心包炎心包剥脱术的麻醉资料。结果所有患者均在非体外循环下完成手术，麻醉平稳，无麻醉并发症和手术死亡，术毕安全转运至重症监护病房。结论缩窄性心包炎患者全身情况及心功能差，充分的术前准备、平稳的麻醉诱导及维持、良好的容量控制及强心利尿是顺利完成手术的关键。Objective To summarize anesthetic management of pericarditis exfohate surgery. Methods The clinical data of 38 contraction pericarditis disease patients with pericarditis exfoliate was analyzed retrospectively. Results All the patients were successfully completed surgery that did not involve CPB, without anesthesia complication and death. Patients were transferred to intensive care unit successfully after surgery. Conclusion Physical fitness and cardiac function are different in the patients of contraction periearditis. Sufficient preoperative preparation, steady anesthesia induction and maintenance, properly controlling blood volume, using cardiotonics and diuretics are the keys to complete surgery smoothly.

关 键 词：缩窄性心包炎 心包剥脱术 麻醉处理 

分 类 号：R614.21[医药卫生—麻醉学]