胸主动脉交叉钳闭术中的麻醉问题。
Anaesthetic problems in cross clamping of the thoracic aorta.
作者信息
Spargo P M, Crosse M M
机构信息
Shackleton Department of Anaesthetics, Southampton General Hospital.
出版信息
Ann R Coll Surg Engl. 1988 Mar;70(2):64-8.
Cross clamping of the descending thoracic aorta is performed in this hospital for graft replacement of suprarenal aneurysms or during endarterectomy for extensive aortic occlusive disease. The anaesthetic management of nine patients is described and the surgical results are presented. Proximal aortic clamping and declamping lead to profound haemodynamic changes. Myocardial infarction, ventricular failure and even death may result. Renal preservation during clamping and massive blood transfusion are also problems of this surgical approach. The measures taken to ameliorate the consequences of proximal aortic clamping are discussed in detail.
本院在进行肾上腺上动脉瘤移植置换或广泛性主动脉闭塞性疾病动脉内膜切除术时会进行胸降主动脉交叉钳夹。本文描述了9例患者的麻醉管理情况并展示了手术结果。主动脉近端钳夹和松开会导致深刻的血流动力学变化。可能会引发心肌梗死、心室衰竭甚至死亡。钳夹期间的肾脏保护和大量输血也是这种手术方式面临的问题。本文详细讨论了为减轻主动脉近端钳夹后果所采取的措施。
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