颈动脉内膜剥脱术围术期心肌缺血的研究  

The Study of Perioperative Myocardial Ischemia under Surgery of Carotid Endarterectomy

作　　者：韩志国[1] 蔡秋萍[1] 徐廷万[1] 刘雁[1] 毕聪杰[1] 邹瑾[1] 

机构地区：[1]大连市中心医院麻醉科,辽宁大连116033

出　　处：《中国医药指南》2016年第24期3-4,共2页Guide of China Medicine

摘　　要：目的研究颈动脉内膜剥脱术患者围术期肌钙蛋白T浓度的变化。方法65例颈动脉内膜剥脱术均在全麻下完成。记录颈动脉阻断时间及围术期心血管不良事件、脑卒中及术前、术后1、2、3d的肌钙蛋白T的浓度。结果①颈动脉内膜剥脱术术中低血压和心动过缓发生率较高，而术后血压多偏高，需要应用降压药物控制血压。②所有患者肌钙蛋白T的浓度均未超过0．1μg／L。结论全身麻醉下术中控制性升压对于术前ASA分级II～III级，无心肌缺血表现的患者是安全的，并不会增加围术期心肌缺血事件的发生率，可安全用于颈动脉内膜剥脱术。Objective Research troponin T concentration changes in patients of carotid endarterectomy perioperative period. Methods 65 cases of CEA are all completed in general anesthesia. Record carotid blocking time and perioperative cardiovascular events, stroke, and preoperative and postoperative I, 2, 3 days of troponin T concentration. Results Incidence of intraoperative hypotension and bradycardia in CEA is higher, but the blood pressure is high after operation. Need to use antihypertensive drug to control the blood pressure. Troponin T concentration of all patientswere not more than 0.1 μg/ L. Conclusions General anesthesia and intraoperative controlled booster for the patients of preoperative ASA classification II～III level, no myocardial ischemia performance are safe, not increase perioperative incidence of myocardial ischemic events, can be used for CEA.

关 键 词：颈动脉内膜剥脱术 麻醉 肌钙蛋白T 

分 类 号：R542.2[医药卫生—心血管疾病] R614[医药卫生—内科学]