Hashimoto K, Ooka T, Kosaka Y
Department of Anesthesiology, Shimane Medical University, Izumo.
Masui. 1994 Dec;43(12):1881-4.
Dilated cardiomyopathy is defined as a syndrome of dilated ventricles with gross impairment of ventricular systolic function. Recently, there are several anesthetic reports regarding this syndrome. But any appropriate anesthetic method has not been established. A 59-year-old man with dilated cardiomyopathy underwent low anterior resection of rectum. We employed the technique of high dose epidural fentanyl anesthesia as the anesthetic method. During surgery, mild hypotension developed, but other cardiovascular abnormalities were not observed during and after the operation. Based on this result, the authors recommend that high dose epidural fentanyl anesthesia is an anesthetic method of choice for patients with dilated cardiomyopathy.
扩张型心肌病被定义为心室扩张且心室收缩功能严重受损的一种综合征。最近，有几篇关于该综合征的麻醉报告。但尚未确立任何合适的麻醉方法。一名59岁的扩张型心肌病男性患者接受了直肠前低位切除术。我们采用高剂量硬膜外芬太尼麻醉技术作为麻醉方法。手术期间出现了轻度低血压，但术中及术后未观察到其他心血管异常情况。基于这一结果，作者推荐高剂量硬膜外芬太尼麻醉是扩张型心肌病患者的首选麻醉方法。
