Oguchi T, Kashimoto S, Kanda F, Kumazawa T
Department of Anaesthesiology, Yamanashi Medical College, Japan.
Eur J Anaesthesiol. 1991 Jul;8(4):301-4.
A 67-year-old man with dilated cardiomyopathy underwent subtotal gastrectomy. The risks due to anaesthesia and surgery were considered to be very high because of the severe dysrhythmias and renal dysfunction. Anaesthesia was induced with fentanyl and midazolam and maintained with additional fentanyl, midazolam, and 60% nitrous oxide. Dobutamine, dopamine, lignocaine and a temporary pacemaker were used to control cardiovascular responses during surgery. Mild hypotension and tachycardia occurred, but neither circulatory failure nor other major complications were observed during and after the operation.
一名67岁的扩张型心肌病男性接受了胃大部切除术。由于严重的心律失常和肾功能不全，麻醉和手术的风险被认为非常高。麻醉诱导使用芬太尼和咪达唑仑，并通过追加芬太尼、咪达唑仑和60%氧化亚氮维持。手术期间使用多巴酚丁胺、多巴胺、利多卡因和临时起搏器来控制心血管反应。出现了轻度低血压和心动过速，但术中及术后均未观察到循环衰竭或其他严重并发症。
