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[心脏手术中的麻醉与重症监护。1982年法国各中心的情况]

[Anesthesia and intensive care in cardiac surgery. Activity at the French centers in 1982].

作者信息

Depoix J P, Desmonts J M, Tiret L

出版信息

Ann Fr Anesth Reanim. 1984;3(6):460-6. doi: 10.1016/s0750-7658(84)80149-5.

Abstract

A national survey was carried out to inquire about the practice of anaesthesia and surgical intensive care in cardiac surgery in French hospitals. In 1982, 15,797 surgical procedures with cardiopulmonary bypass were collected; 1,360 and 555 were performed in children and infants respectively. Coronary surgery accounted for 46% of the total. For the same time interval, 2,554 operations without cardiopulmonary bypass were done. Postoperative care was supervised by anaesthesiologists in most of the French centres. The duration of stay of patients in intensive care units increased as the unit's activity decreased. With the exception of arterial blood pressure monitoring, there was no consensus on the method or the extent of monitoring of patients undergoing cardiac surgery. A Swan-Ganz catheter was only used in 18% of cases. Neuroleptanalgesia was the anaesthetic technique most often used.

摘要

一项全国性调查开展以探究法国医院心脏手术中麻醉和外科重症监护的实施情况。1982年,收集了15797例体外循环手术;其中分别有1360例和555例在儿童和婴儿中进行。冠状动脉手术占总数的46%。在同一时间间隔内,进行了2554例非体外循环手术。在大多数法国中心,术后护理由麻醉医生监督。重症监护病房患者的住院时间随着病房活动量的减少而增加。除动脉血压监测外,对于心脏手术患者监测的方法或程度没有达成共识。仅18%的病例使用了 Swan-Ganz 导管。神经安定镇痛是最常使用的麻醉技术。

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