心脏瓣膜置换术_乙咪酯_血流动力学(期刊论文)

国产乙咪酯用于心脏瓣膜置换手术麻醉诱导的初步观察

http://www.100md.com 《西北国防医学杂志》 1999年第2期

心脏瓣膜置换术|乙咪酯|血流动力学,关键词：

     郭永军马秀光梁华陈维东杨向荣杨焕杰解放军第五医院西北国防医学杂志 1999 0 20 2

    关键词：心脏瓣膜置换术；乙咪酯；血流动力学期刊 xbgfyxzz 0 论著 fur -->

摘要：目的：观察国产乙咪酯用于心脏瓣膜置换手术麻醉诱导时对血流动力学的影响。方法：对7例心脏瓣膜手术病人在麻醉手术期间和体外循环前后，采用有创动、静脉压力监测方法测定血流动力学变化。结果：与麻醉前比较除HR有显著增快外(P<0.05)，MAP、SAP、DAP、CVP、RPP等均无显著性变化(P>0.05)。结论：对心脏瓣膜置换手术病人用乙咪酯0.3mg/kg行麻醉诱导，对心功能影响轻微，乙咪酯适用于心功能不全病人。

    中图分类号 ：R 654.2

    文献标识码 ：A

    文章编号 ：1007-8622(1999)02-0105-06

Preliminary evaluation of domestic etomidate in cardiac valve replacement during induction of anesthesia

GUO Yongjun,MA Xiuguang,LIANG Hua,et al.

Department of Anesthesiology,The 5th Hospital,PLA,750004

Abstract :Purpose:To observe hemodynamic effect of domesticetomidate during induction in patients scheduled for cardiac valvereplacement.Methods:Seven patients randomly allocated to receive intravenous domesticetomidate 0.3 mg/kg,changes of circulation function data were measured.Results:MAP、SAP、DAP、CVP、RPPhad no significant changes before and after adminitration,but HR was increased significant(P<0.05).Conclusion:Domestic etomidate may be administrated safely for patientsundergoing cardiac valve replacement.

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