目的:采用Rastelli術治療合并室間隔缺損、肺動脈狹窄、完全性大動脈轉位病人,探討圍手術期麻醉管理特點。方法:選用大劑量芬太尼靜脈復合麻醉方案,在深低溫、低流量體外循環下實施Rastelli手術并進行多指標監測和臨床觀察。結果:麻醉經過平穩,圍手術期患者生命體征穩定。結論:選擇恰當的麻醉方案,有效的心臟保護,保持酸堿平衡和水、電解質穩定是成功進行麻醉管理的必要條件。
Citation:
LU Kairong,LIU Yanbin,ZHANG Xinhua,et al.. Anaesthesia Management in Rastelli Procedure for Translocation of the Great Arteries Associated with Ventricular Septal Defect and Pulmonary Stenosis. West China Medical Journal, 2008, 23(1): 127-128. doi:
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- 1. [1]Rastelli GC,Me Goon DC,Wallace RB.Anatomic correction of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis[J].J Thorac Cardiovas Surg,1969,58:545-552..
- 2. 王大柱.人體疾病與麻醉[M].天津:天津科技翻譯出版公司,1994:37-38..
- 3. 劉進,胡小琴.經鎖骨下或頸內靜脈穿刺通過房間隔置左房測壓管[J].臨床麻醉學雜志,1998,14(1):30-51..
- 4. 馬素美,張際春.完全性大動脈轉位的麻醉處理[J].臨床麻醉學雜志,2006,22(3):235-236..