中国医学创新Issue(36)：132-134,135,4.DOI:10.3969/j.issn.1674-4985.2013.36.061
非体外循环下冠状动脉搭桥术的麻醉管理
Anesthesia Management in Off-pump Coronary Artery Bypass
张杰 1苏娜 1钟声宏 1毛振北1
作者信息
- 1. 江西省九江市第一人民医院 江西 九江 332000
- 折叠
摘要
Abstract
Objective:To analyze the hemodynamic changes and characteristics of anesthesia in off-pump coronary artery bypass(OPCAB). Method:The clinical data of 50 patients with coronary heart disease were retrospectively analyzed,and all patients chose to undergo OPCAB,and all patients received induction with midazolam,fentanyl,and rocuronium bromide,and all patients received intravenous inhalational anesthesia with fentanyl,vecuronium bromide,and sevoflurane. According to intraoperative hemodynamic changes the position was adjusted,and vasoactive drugs were used. Result:All the patients successfully completed surgery,and intraoperative vital signs of patients were stable,and 1 case happened acute myocardial infarction again in ICU,and this patient recovered through active rescue,and the rest of patients didn’t have complication and recovered smoothly. Conclusion:Some measures are very important to ensure the smooth progress of the operation and the safety of patients,including using narcotic drugs and vascular active drugs in OPCAB reasonably,and using the change of position rationally,and maintaining stable hemodynamics and the supply and demand of myocardial oxygen in balance.关键词
非体外循环/冠状动脉/搭桥术/麻醉Key words
Off-pump/Coronary artery/Grafting/Anesthesia引用本文复制引用
张杰,苏娜,钟声宏,毛振北..非体外循环下冠状动脉搭桥术的麻醉管理[J].中国医学创新,2013,(36):132-134,135,4.
