• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

“分次”硬膜外麻醉用于一名患有扩张型心肌病和严重左心室收缩功能障碍患者的肾移植手术。

"Graded" epidural anesthesia for renal transplant in a patient with dilated cardiomyopathy and severe left ventricle systolic dysfunction.

作者信息

Yadav Rupesh, Solanki Sohan Lal

机构信息

Department of Anesthesia, PGIMER and Dr. Ram Manohar Lohia Hospital, New Delhi, India.

Department of Anesthesiology, Critical Care and Pain, Tata Memorial Hospital, Mumbai, Maharashtra, India.

出版信息

Saudi J Anaesth. 2017 Apr-Jun;11(2):222-224. doi: 10.4103/1658-354X.203022.

DOI:10.4103/1658-354X.203022
PMID:28442964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5389244/
Abstract

Dilated cardiomyopathy with decreased contractility of left or both ventricles impose a serious risk to patient posted for major surgery. Even after best medical optimization, careful perioperative management with risk and benefit of general and regional anesthesia should be discussed beforehand. We here reporting a case of successful management of a patient with dilated cardiomyopathy with ejection fraction of 15% posted for renal transplant surgery under graded epidural anesthesia.

摘要

左心室或双心室收缩力降低的扩张型心肌病会给准备接受大手术的患者带来严重风险。即使经过最佳的药物优化治疗，也应事先讨论全身麻醉和区域麻醉的围手术期仔细管理及其风险和益处。我们在此报告一例扩张型心肌病患者成功管理的病例，该患者射血分数为15%，在分级硬膜外麻醉下接受肾移植手术。

相似文献

1
"Graded" epidural anesthesia for renal transplant in a patient with dilated cardiomyopathy and severe left ventricle systolic dysfunction.“分次”硬膜外麻醉用于一名患有扩张型心肌病和严重左心室收缩功能障碍患者的肾移植手术。
Saudi J Anaesth. 2017 Apr-Jun;11(2):222-224. doi: 10.4103/1658-354X.203022.
2
[Anesthesia for renal transplantation in patients with dilated cardiomyopathy: a retrospective study of 31 cases].扩张型心肌病患者肾移植的麻醉：31例回顾性研究
Braz J Anesthesiol. 2019 Sep-Oct;69(5):477-483. doi: 10.1016/j.bjan.2019.06.002. Epub 2019 Oct 25.
3
Anesthetic Management of a Patient with Dilated Cardiomyopathy and End-stage Renal Disease for Emergency Strangulated Hernia Repair Surgery.扩张型心肌病合并终末期肾病患者急诊绞窄性疝修补手术的麻醉管理
Anesth Essays Res. 2017 Oct-Dec;11(4):1121-1123. doi: 10.4103/aer.AER_231_16.
4
Graded Epidural Anaesthesia for Lower Segment Cesarean in a Parturient with Very Low Ejection Fraction.极低射血分数产妇下段剖宫产的分级硬膜外麻醉
Kathmandu Univ Med J (KUMJ). 2019 Apr-Jun;17(66):151-153.
5
Anaesthetic management of renal transplant surgery in patients of dilated cardiomyopathy with ejection fraction less than 40%.射血分数低于40%的扩张型心肌病患者肾移植手术的麻醉管理
Anesthesiol Res Pract. 2014;2014:525969. doi: 10.1155/2014/525969. Epub 2014 Aug 19.
6
Anaesthetic management of laparoscopic surgery for rectal cancer in patients of dilated cardiomyopathy with poor ejection fraction: a case report.射血分数低的扩张型心肌病患者直肠癌腹腔镜手术的麻醉管理：一例报告
Int J Clin Exp Med. 2015 Jun 15;8(6):9555-9. eCollection 2015.
7
Left ventricular relaxation in dilated cardiomyopathy: relation to loading conditions and regional nonuniformity.
J Am Coll Cardiol. 1992 Nov 1;20(5):1082-91. doi: 10.1016/0735-1097(92)90362-q.
8
[Epidural anesthesia with high dose fentanyl for a patient with dilated cardiomyopathy].[大剂量芬太尼用于扩张型心肌病患者的硬膜外麻醉]
Masui. 1994 Dec;43(12):1881-4.
9
[Left ventricular function in patients with dilated cardiomyopathy].[扩张型心肌病患者的左心室功能]
Lik Sprava. 1993 Jul(7):54-7.
10
Regional differences in myocardial work of the left ventricle in patients with idiopathic dilated cardiomyopathy: Implications for the surgical technique used for left ventriculoplasty.特发性扩张型心肌病患者左心室心肌做功的区域差异：对左心室成形术手术技术的启示
J Thorac Cardiovasc Surg. 2001 Sep;122(3):600-7. doi: 10.1067/mtc.2001.115420.

引用本文的文献

1
Surgical approach for kidney transplantation under spinal anesthesia.脊髓麻醉下肾移植的手术入路
J Surg Case Rep. 2020 Dec 31;2020(12):rjaa538. doi: 10.1093/jscr/rjaa538. eCollection 2020 Dec.

本文引用的文献

1
Anaesthetic management of renal transplant surgery in patients of dilated cardiomyopathy with ejection fraction less than 40%.射血分数低于40%的扩张型心肌病患者肾移植手术的麻醉管理
Anesthesiol Res Pract. 2014;2014:525969. doi: 10.1155/2014/525969. Epub 2014 Aug 19.
2
Low-dose sequential combined-spinal epidural anesthesia for Cesarean section in patient with uncorrected tetrology of Fallot.低剂量序贯式腰麻-硬膜外联合麻醉用于法洛四联症未矫正患者剖宫产术
Saudi J Anaesth. 2011 Jul;5(3):320-2. doi: 10.4103/1658-354X.84111.
3
Anesthetic considerations in patients with cardiomyopathies --a review.心肌病患者的麻醉注意事项——综述
Middle East J Anaesthesiol. 2009 Oct;20(3):347-54.
4
[Anesthetic management of a patient with dilated cardiomyopathy under total intravenous anesthesia with propofol and ketamine combined with continuous epidural analgesia].
Masui. 1999 Nov;48(11):1232-4.
5
Idiopathic dilated cardiomyopathy.特发性扩张型心肌病
N Engl J Med. 1994 Dec 8;331(23):1564-75. doi: 10.1056/NEJM199412083312307.
6
Report of the WHO/ISFC task force on the definition and classification of cardiomyopathies.世界卫生组织/国际心脏和肺移植学会心肌病定义和分类特别工作组报告
Br Heart J. 1980 Dec;44(6):672-3. doi: 10.1136/hrt.44.6.672.