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冠状动脉搭桥手术的麻醉管理

Anaesthetic management for coronary artery bypass surgery.

作者信息

Moffitt E A

出版信息

Can Anaesth Soc J. 1978 Nov;25(6):462-7. doi: 10.1007/BF03007407.

DOI:10.1007/BF03007407
PMID:310333
Abstract

The principles and practice of aneasthesia for patients having coronary bypass grafts are discussed. The essential basic principle is to restrict myocardial oxygen requirement while maintaining oxygen supply. The pathophysiology of coronary artery disease and the pharmacological principles for successful management of the cardiac patient through operation and whole body perfusion for coronary bypass grafts are summarized.

摘要

本文讨论了冠状动脉搭桥手术患者的麻醉原则与实践。基本的原则是在维持氧供的同时限制心肌需氧量。总结了冠状动脉疾病的病理生理学以及通过手术和冠状动脉搭桥全身灌注成功治疗心脏病患者的药理学原则。

相似文献

1
Anaesthetic management for coronary artery bypass surgery.冠状动脉搭桥手术的麻醉管理
Can Anaesth Soc J. 1978 Nov;25(6):462-7. doi: 10.1007/BF03007407.
2
Anesthetic considerations for aortocoronary bypass graft surgery.主动脉冠状动脉搭桥手术的麻醉注意事项
Ann Thorac Surg. 1979 Apr;27(4):376-89. doi: 10.1016/s0003-4975(10)63322-x.
3
Anesthesia and cardiac ischemia: a review for cardiac and non-cardiac surgery.麻醉与心脏缺血:心脏手术与非心脏手术综述
Ma Zui Xue Za Zhi. 1988 Sep;26(3):307-28.
4
[Preparation for the operation and anesthesia of patients with ischemic heart disease].[缺血性心脏病患者的手术及麻醉准备]
Biull Vsesoiuznogo Kardiol Nauchn Tsentra AMN SSSR. 1986;9(1):100-1.
5
Anesthesia for off-pump coronary artery bypass surgery.非体外循环冠状动脉搭桥手术的麻醉
Ann Card Anaesth. 2013 Jan-Mar;16(1):28-39. doi: 10.4103/0971-9784.105367.
6
Anaesthesia for emergency coronary artery surgery.急诊冠状动脉手术的麻醉
Br J Anaesth. 1974 Dec;46(12):953-60. doi: 10.1093/bja/46.12.953.
7
Cardiac output can be reliably measured noninvasively after coronary artery bypass grafting operation.冠状动脉搭桥手术后,心输出量可以通过无创方式可靠地测量。
Crit Care Med. 1999 Oct;27(10):2206-11. doi: 10.1097/00003246-199910000-00023.
8
Acute cardiovascular changes following disoprofol. Effects in heavily sedated patients with coronary artery disease.丙泊酚引起的急性心血管变化。对重度镇静的冠心病患者的影响。
Anaesthesia. 1982 Oct;37(10):1007-10. doi: 10.1111/j.1365-2044.1982.tb01713.x.
9
[Intraoperative myocardial ischemia. Physiopathology and prevention].[术中心肌缺血。病理生理学与预防]
Ann Fr Anesth Reanim. 1984;3(5):351-63. doi: 10.1016/s0750-7658(84)80072-6.
10
[Does chronic oral treatment with beta-receptor blockers have an effect on positive inotropic therapy of coronary patients with adrenaline after extracorporeal circulation?].[β受体阻滞剂长期口服治疗对体外循环后冠心病患者使用肾上腺素进行正性肌力治疗是否有影响?]
Herz. 1995 Dec;20(6):399-411.

本文引用的文献

1
Studies in extracorporeal circulation. V. Anesthesia and supportive care during intracardiac surgery with the Gibbon-type pump-oxygenator.体外循环研究。五、使用吉本型泵氧合器进行心脏内手术期间的麻醉与支持治疗。
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2
Studies in extracorporeal circulation. I. Applicability of Gibbon-type pump-oxygenator to human intracardiac surgery: 40 cases.体外循环研究。I. 吉本式泵氧合器在人类心脏内手术中的适用性:40例病例。
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Application of a mechanical heart and lung apparatus to cardiac surgery.
心肺机械装置在心脏手术中的应用。
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Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter.使用血流导向球囊导管对人体心脏进行导管插入术。
N Engl J Med. 1970 Aug 27;283(9):447-51. doi: 10.1056/NEJM197008272830902.
5
Flow directed-pulmonary artery catheterization in surgical patients: indications and modifications of technic.手术患者的血流导向肺动脉导管插入术:适应证及技术改良
Ann Surg. 1972 Dec;176(6):753-6. doi: 10.1097/00000658-197212000-00014.
6
Hemodynamic effects of nitroprusside infusion during coronary artery operation in man.
Circulation. 1976 Dec;54(6 Suppl):III4-10.
7
The patient with heart disease: preoperative evaluation and preparation.心脏病患者:术前评估与准备
Anesth Analg. 1976 Sep-Oct;55(5):618-23. doi: 10.1213/00000539-197609000-00002.
8
The hemodynamic effects of dopamine following cardiopulmonary bypass.体外循环后多巴胺的血流动力学效应。
Ann Thorac Surg. 1977 Apr;23(4):361-3. doi: 10.1016/s0003-4975(10)64142-2.
9
Intravenous nitroglycerin in acute myocardial infarction.急性心肌梗死中的静脉注射硝酸甘油
Circulation. 1975 Jan;51(1):132-9. doi: 10.1161/01.cir.51.1.132.
10
Anesthesia and postoperative care for cardiac operations.
Ann Thorac Surg. 1977 Feb;23(2):173-93. doi: 10.1016/s0003-4975(10)64096-9.