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[三例缩窄性心包炎患者心包切除术的麻醉管理]

[Anesthetic managements for pericardiectomy of three patients with constrictive pericarditis].

作者信息

Kurokawa S, Fukuda S, Yamakura T, Morioka M, Denda S, Shimoji K

机构信息

Department of Anesthesiology, Niigata University School of Medicine.

出版信息

Masui. 1997 Apr;46(4):515-20.

PMID:9128024
Abstract

We experienced three patients with constrictive pericarditis who underwent pericardiectomy. Percutaneous cardiopulmonary support (PCPS) was carried out in two patients because of unstable hemodynamics caused by massive bleeding or cardiac compression due to surgical manipulation. In the other patient with severe tachycardia, we prepared PCPS before the induction of anesthesia, and could manage the whole course of anesthesia satisfactorily. It is suggested that PCPS is the most reliable way to support hemodynamics during anesthesia in patients with constrictive pericarditis.

摘要

我们有3例缩窄性心包炎患者接受了心包切除术。其中2例患者由于手术操作导致大出血或心脏受压引起血流动力学不稳定,接受了体外膜肺氧合(ECMO)支持。另一例严重心动过速的患者,我们在麻醉诱导前准备了ECMO,并顺利完成了整个麻醉过程。提示ECMO是缩窄性心包炎患者麻醉期间支持血流动力学最可靠的方法。

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