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

• 1:贵州省人民医院麻醉科，贵阳医学院附院麻醉科

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:

Keywords:

基金项目(Foundation):

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

DOI: 10.19367/j.cnki.1000-2707.1994.01.015

参考文献(References)：

• 1邓福忠，等，法乐氏四联症纠正术的麻醉体会。中华麻醉学杂志，1993，13（4）：3062刘俊杰，等编。现代麻醉学。北京：人民卫生出版社，1987．60页

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