四川医学2011，Vol.32Issue(11)：1715-1716,2.
胸主动脉夹层动脉瘤腔内隔绝术的麻醉管理
Anesthesia for endovascular stent-graft implantation of thoracic aortic dissection
夏氢 1陈伟 1李卫 1蒋岚杉 1崔驰1
作者信息
- 1. 绵阳市中心医院麻醉科,血管外科,四川绵阳621000
- 折叠
摘要
Abstract
Objective To present the anesthetic management of patients for endovascular stent-graft implantation of thoracic aortic dissection. Methods Twenty-nine patients with thoracic aortic dissection were underwent endovascular stent-graft implantation under combined intravenous-inhalation anesthesia and controlled hypotension. Anesthesia was induced with midazolam, propofol, fentanyl and atracuriura, and maintained with propofol, fentanyl, atracurium, isoflurane or sevoflurane. Continuous e-lectrocardiogram, invasive blood pressure, central venous pressure, percutaneous oxygen saturation, end-tidal carbon dioxide tensions and urine output were monitored. Arterial blood gas, plasma electrolyte and blood sugar were monitored if necessary. An intravenous infusion of nitroglycerin[0. 5～5 μg/(kg ? Min) ] was given to maintain systolic pressure at 90～100mmHg before release of the stent. Results The anaesthesia times were ( 120. 28 ± 15. 25) minutes. The anesthetic effects were satisfactory and the hemodynamics was steady. Before release of the stent, mean arterial blood pressure was reduced to (65.13 ± 14. 32) mmHg. All of them had no anesthesia complications. Conclusion Appropriate preoperative preparation, controlled hypotension and systemic organ protection are very important in the anesthetic management of patients for endovascular stent-graft implantation of thoracic aortic dissection.关键词
全身麻醉/控制性降压/胸主动脉夹层动脉瘤/介入治疗Key words
general anaesthesia/ controlled hypotension/ thoracic aortic dissection/ interventional therapy分类
医药卫生引用本文复制引用
夏氢,陈伟,李卫,蒋岚杉,崔驰..胸主动脉夹层动脉瘤腔内隔绝术的麻醉管理[J].四川医学,2011,32(11):1715-1716,2.
