贵州医科大学学报

1994, (01)

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14例法乐四联症矫正术的麻醉处理
Anesthetic Management of Surgical Repair for 14 Patients with Fallot Tetrad

查德超,冯亚萍,崔道矩
Zha Dechao,et al(Department of Anesthesology,Guizhou Provincal People's Hospital)

摘要(Abstract):

本地14例法乐四联症根治术的麻醉处理进行了总结分析。本组病例术中平稳,无麻醉死亡,其麻醉成功的要点是:由于这类病人心肺功能低下,术中应避免使用抑制呼吸循环的药物;体温降到25℃以下,加上心脏深低温有利于降低实质器官的耗氧;适当的过度换气可减低肺血管的阻力;保持循环稳定可减少低心排的发生。
We present our experience with complex vein-anesthesia in 14 patients with Fallot tetrad for total surgical correction. All patients received complex vein-anesthetization during the surgery,obtaining a satisfactory effect. Also the date of the status of respiration and circulation during the corrective surgery were analyzed. It is concluded that following factors are esential for the successful vein-anesthesia during the surgical correction of Fallot tetrad: l. The drugs, whice may inhibit cardiac-pulmonary function, should be avoided to use during the surgery, because of the inadeqate cardiac-pulmonary status in these patients, 2. Lower temperature (below 25℃) and the heart' s lower temperature (below 15℃) may protect the tissue from insufficiency of the oxygen;3. An adequate overventilation is beneficial in decrease of pulmonary vascular resistance; 4. Sustaining the stable circulation during the anesthesia may reduce the frequency of low cardiac output after the operation, all patients were stable during the surgery, not occured anesthesia death.

关键词(KeyWords): 法乐四联症,麻醉,心脏外科手术
Fallot tetrad; anesthesia; heart surgery

Abstract:

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作者(Author): 查德超,冯亚萍,崔道矩
Zha Dechao,et al(Department of Anesthesology,Guizhou Provincal People's Hospital)

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DOI: 10.19367/j.cnki.1000-2707.1994.01.015

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