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体表降温诱导的深度低温在心脏直视手术中的应用。

Use of profound hypothermia induced by surface cooling in open-heart surgery.

作者信息

Matsumoto A, Sato S, Kondo J, Kumada J, Goto H, Kohno M, Matsumura H, Wada T

出版信息

Ann Thorac Surg. 1976 Oct;22(4):330-7. doi: 10.1016/s0003-4975(10)64963-6.

DOI:10.1016/s0003-4975(10)64963-6
PMID:10858
Abstract

Profound hypothermia with body-surface cooling for use in open-heart surgery is considered a difficult anesthetic technique because of the problems of controlling ether anesthesia. This paper describes our hypothermia technique in detail, with emphasis on its particular usefulness in open-heart procedures in neonates and infants. The results are based on our experience with 281 consecutive patients. Guidelines for safe and effective performance of this technique were established on the basis of continuous monitoring of the electrocardiogram, electroencephalogram, and arterial blood pressure. We conclude from our experience that open-heart operation under profound hypothermia is a safe, effective, and extremely promising method.

摘要

用于心脏直视手术的体表降温深度低温麻醉技术,由于存在控制乙醚麻醉的问题,被认为是一种难度较大的麻醉技术。本文详细描述了我们的低温麻醉技术,重点介绍了其在新生儿和婴儿心脏直视手术中的特殊用途。结果基于我们对281例连续患者的经验。在持续监测心电图、脑电图和动脉血压的基础上,制定了该技术安全有效实施的指南。根据我们的经验,我们得出结论,深度低温下的心脏直视手术是一种安全、有效且极具前景的方法。

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1
Use of profound hypothermia induced by surface cooling in open-heart surgery.体表降温诱导的深度低温在心脏直视手术中的应用。
Ann Thorac Surg. 1976 Oct;22(4):330-7. doi: 10.1016/s0003-4975(10)64963-6.
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[Clinical study on management of anesthesia during rapid extracorporeal cooling].
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Acid-base and electrolyte changes in infants undergoing profound hypothermia for surgical correction of congenital heart defects.接受深度低温以进行先天性心脏缺陷手术矫正的婴儿的酸碱及电解质变化。
Can Anaesth Soc J. 1974 Jan;21(1):23-45. doi: 10.1007/BF03004577.
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[Anesthetic management in open-heart surgery with profound hypothermia, with special reference to the cooling process].[深低温体外循环心脏直视手术的麻醉管理,特别关注降温过程]
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