摘要
本文对年龄在42~78岁之间的84例全麻病人术中出现心律失常的原因及类型进行分析。麻醉方法为快速诱导后行气管插管.静吸复合麻醉维持深度,术中连续心电监测。其结果是:28例于麻醉前即有心律失常的病人手术中仍存在,麻醉期间出现的56例中诱导时发生39例占70%,维持期发生17例占30%。其原因与麻醉用药、交感神经或利交感神经活动增强或平衡失调及手术操作有关,给予相应处理后均得以纠正。提示要预防心律失常的发生应做到:术前充分估计病情,术中尽量避免以上原因。及时发现,及时处理。
Eighty - Four patients between 42 and 78 years with combined anesthesiawerc monitored continously and the reason of arrythmia during the operation was analysedin this article. The anesthesia method was making trachea cannula aftcr quick induction andkeeping the depth by vein and inhalation anesthesia. The result showcd that 28 arrythmiacases before operation remained the state in operation .of the othcr 56 cases, 39 cases (7O%)occurred in the induction period, 17cases (3O% ) in operating. It was related to anesthetics.operation technique and hyperfunction or inbalance of Sympathic or parasympathic nerve andwould be remedied by suitable treatment. To estimate patients condition befnre operationand avoid the above factors as far as possible and treat it in time was neccssary
出处
《渤海大学学报(自然科学版)》
CAS
1999年第1期76-77,共2页
Journal of Bohai University:Natural Science Edition
关键词
全身麻醉
心律失常
麻醉用药
vein combined anesthesia, arrhythmia, anesthetics