摘要
目的探讨婴儿主动脉弓中断及合并畸形一期矫治术的麻醉处理特点。方法 19例主动脉弓中断及合并畸形婴儿行一期矫治术,全组患者均在深低温停循环下进行,采用常规超滤及改良超滤,入室至深低温停循环前均以前列腺素E1（PGE1）10～30ng/kg·min输注。结果转流时间为（87±72）min,阻断主动脉时间为（67±42）min,深低温停循环时间（45±23）min。停机后下肢动脉压力超过上肢11例,与上肢相同4例,上肢动脉压力超过下肢4例。无麻醉并发症。16例痊愈出院,恢复良好。结论适当的术中麻醉管理有助于手术成功进行与患者术后恢复。
Objective To evaluate the anesthetic management of one-stage corrective surgery in infant with interrupted aortic arch accompanied with other malformation. Methods Corrective surgery was performed in twenty three infants with interrupted aortic arch accompanied with other malformations under deep low temperature and circulation arrest after general anesthesia. And routine hyperfiltration or modified hyperiihration was adopted before the end of cardiopulmonary bypass. （PGE1）10-30 ng/kg·min injecting was kept before deep low temperature and circulation arrest. Results Bypass time was （87±72） min,the aortic obstruction time was （67±42） min,and the circulation arrest time was （45±23） min. The blood pressure of lower limbs was higher than that of upper limbs＇ in 11 cases; were same in 4 cases; that of upper limbs was higher than that of lower ones in 4 cases after the aorta opened. The complication did not happen after general anesthesia. Sixteen of them were healing well and discharged. Conclusion Proper anesthetic management will improve the succees and the prognosis of corrective surgery in infant with interrupted aortic arch accompanied with other malformation.
出处
《实用医药杂志》
2010年第8期682-683,685,共3页
Practical Journal of Medicine & Pharmacy
关键词
主动脉弓中断
深低温停循环
全身麻醉
婴儿
Interrupted aortic arch
Deep low temperature and circulation arrest
Anesthetic management
Infant
