联合瓣膜病变合并心源性恶液质病人的麻醉处理.doc

联合瓣膜病变合并心源性恶液质病人的麻醉处理 河南平顶山152中心医院麻醉科(467000) 刘聪霞 孟庆友 李小涛 李华平 李会平 目的　方法　给予血管活性药物支持循环功能及延长术后拔管时间等措施。结 本组病人体外循环转机时间125～208分钟,阻断主动脉时间98～145分钟。自动复跳10例。除颤复跳4例。临时起搏器调搏6例。麻醉诱导期SBP、DBP、HR、CVP值与麻醉诱导前相比差异无显著性(P0.05),诱导后,气管插管时,插管后各组间血流动力学无明显变化(各组间Ｐ0.05)。(25.3±8.2)ｈ1例结论　麻醉诱导期血流动力学变化SBP、DBP、HR、CVP值与麻醉诱导前相比差异无显著性(P0.05),诱导后,气管插管时,插管后各组间血流动力学无明显变化(各组间Ｐ0.05)。1例死于顽固性心衰4 徐美英,张建欣,张富军.米力农对风湿性心脏病患者瓣膜置换围术期炎性反映的影响.中华麻醉学杂志,2000,(8):463～6. 5张小庆,杭燕南,孙大金.米力农联合多巴胺用于重症心内直视手术停机过程.临床麻醉学杂志,2000,7:328～31. County economic work conference leadership speech:The main task of the twenty-six session of the six plenary meeting of the county the county economic work conference this time, by the partys eighteen and eighteen Third Plenary Session of the spirit as a guide, carry out and implement the central and provincial economic work conference on rural work conference and the three session of the seven plenary session of the party to expand the spirit of the meeting, the total summary of last year the work, analysis of the current situation, the deployment of this work, further strengthening the development of consensus, to mobilize the whole county county, deepening reform and innovation, to work against poverty, accelerate the transformation of leapfrog, promote scientific development, struggling to write a new harmonious beautiful mountains and show a prosperous civilization to build a new building. The following chapter * *, according to the county Discussion of the views of the Standing Committee, I focus on four aspects of the problem:* * * years, the county to seriously implement the central decision-making arrangements and real, in accordance with the high position, as a typical tree, catch catch up with speed for a breakthrough, five in one overall grasp to raise human resources to promote overall leap, firmly grasp for the project, investment, industry, structural adjustment, Emegumi Mio, promote harmony, agency the county economy presents the social development to catch up, are balanced