停跳和不停跳体外循环心脏直视手术麻醉的比较  

A Comparative Analysis of Open Heart Surgery under Extracorporial Circulation with or without Cardiac arrest

作　　者：林成新[1] 陈强[1] 谭冠先[1] 周文富[1] 

机构地区：[1]广西医科大学一附院麻醉科

出　　处：《临床麻醉学杂志》1998年第3期6-8,共3页Journal of Clinical Anesthesiology

摘　　要：目的和方法：本文对９９例中低温停跳心内直视手术与１１０例浅低温心脏跳动中行心内直视手术的麻醉进行比较。结果与结论：不停跳手术中病人出现低心排、室颤及术中因心功能衰竭死亡病例数明显少于停跳组，不停跳组手术时间及体外循环时间少于停跳组，不停跳组麻醉中芬太尼用量大于停跳组。Objective and Methods:99 cases of open heart surgery under extracorporial circulation with cardiac arrest and hypothermia were compared with 110 cases of that without cardiac arrest and superficial hypothermia. Results and Conclusion: Low cardiac output syndrome, ventricular fibrillation and death due to heart failure during operation were lless in the noncardiac arrest group than that in the cardiac arrest group. The duration of operation and the time of bypass shorter in the noncardiac arrest group than that in the cardiac arrest group. The dose of fentanyl used in the former group was greater than that in the latter.

关 键 词：体外循环 心内直视手术 

分 类 号：R654.1[医药卫生—外科学]