急性心肌梗死患者腹主动脉瘤覆膜支架植入术的麻醉管理.pdfVIP

国医鏖醛堂皇复菱盘查!Q!!生!旦笠丝鲞笠里翅!堕』△!!些坠!坚：墅匹!望虫丛垫!!：y!!丝：盟盟 ·病例析评· 急性心肌梗死患者腹主动脉瘤覆膜支架植入术的 麻醉管理 肖玮蔡兵王天龙 【摘要】急性心肌梗死患者围术期心脏并发症风险极高，与此同时，腹主动脉瘤覆膜支架置入术也属于可导致心脏不良 事件高发的高危手术。对于1例急性心肌梗死后8d，拟行腹主动脉瘤覆膜置入术的患者，在充分了解手术特点的基础上，根据 手术要求滴定麻醉药物，维持血流动力学的稳定，维持心肌氧供需平衡，制定合理的镇痛镇静方案，从而保证患者平稳渡过围手 术期，避免了严重并发症的发生。 【关键词】支架置入；腹主动脉瘤；心肌梗死；麻醉 Anesthetic ofa acute infarction coated for stent-grantimplantation managementpatient诮thmyocardial undergoing aortic X／A0 abdominal Wei，CAI aneurysm Bing，WANGTian-long．DepartmentofAnesthesiology，XuanwuHospital，Capital Medwal 100053，China University，Beijing withacute infarctionhavea riskof cardiac 【Abstract】Patients myocardial high perioperative increasestheriskofadversecardiacevent．Inthis ofcoated inabdominalaortic also implantationstent-graft aneurysm report，a withacute infarctionfor8 wasscheduledforcoated forabdominalaortic patient myocardial days stent-graftimplantation aneurysm． Basedon about characteristics，theidealanesthesia was the factors： surgical programdevelopedby following fullyunderstanding titrationofanesthetic to balanceof and dragsaccordingsurgicalrequirements，stablehemodynamics，themyocardialoxygensupply withoutserious analgesia／sedation．Finally．thepatientpulledthroughperioperativeperiodstably complications． demand．appropriate words】Stent aortic infarction；Anesthesia 【Key implant；Abdominalaneurysm；Myocardial 根据美国心脏病学会／美国心脏协会2007年的 1病例报告 非心脏手术术前评估指南，急性心肌梗死