前言目的:探讨缩窄性心包炎心包剥脱术的麻醉及术中处理,进一步提高手术麻醉安全性。方法:回顾性分析总结了12例缩窄性心包炎在非体外循环下行心包剥脱术的麻醉经过。结果:全组病例均在全麻非体外循环下完成手术,无大出血、严重心律失常、低心排、心衰、心搏骤停等并发症发生。结论:缩窄性心包炎可在全麻非体外循环下完成心包剥脱术,但由于患者全身情况及心功能差,术前应做好充分准备,术中选择对心肌抑制轻、对循环影响小的药物,注意容量控制并适当强心利尿,术中、术后加强监护治疗。
Objective:Explorethewaytohandleanaesthesiaforexfoliatesurgerytreatingcontractionpericarditisandimproveanaesthesiasecurity.Methods:Makeanintrospectiveanalysisof12casesofcontractionpericarditisthatweregivenanaesthesiainsurgicaloperationofpericarditisexfoliateundertheconditionofnon-outside-bodycirculation.Results:Thewholegroupunderwenttheoperationundercompleteanaesthesiaandnon-outside-bodycirculation,withnocomplicationsarising,suchasbigbleeding,severe...
