myomectomy intraoperative application of oxytocin on the circulatory system（肌瘤切除术术中应用催产素的循环系统）.docVIP

Myomectomy intraoperative application of oxytocin on the circulatory system To write papers network: Author: Zhang Quan Yi Zhang Ruyi Hou Chuan Liu Yue Yao light Keywords:] oxytocin Keywords:] oxytocin hormone, enucleation of uterine fibroids, the circulatory system The uterine fibroids gynecological frequently-occurring and common diseases, one of the surgical enucleation of uterine fibroids is often used [1]. Surgery in order to reduce the enucleation of the amount of bleeding in the process, often used as a local injection of oxytocin prime. reported on this aspect of the circulatory system, this paper aims to observe changes in the patient’s blood pressure, heart rate and arterial oxygen saturation after application of oxytocin. 1 Clinical data 1.1 General Information Randomly selected elective epidural anesthesia Myomectomy In addition to the 20 cases of patients undergoing ASA Ⅰ ~~ Ⅱ grade, no heart and lung, liver, kidney, and other system diseases and complications. Ages (3500 + -595 years of age, body weight (6275 + - 850kg. preoperative fasting 12 h, forbidden to drink 6 h 30 min before intramuscular luminal sodium 01g, atropine 05 mg. pathologically confirmed uterine leiomyomas. 1.2 during anesthesia Normal operation after the burglary, select L1 ~~ gap line epidural catheter 35 cm to the end of the local anesthetic lidocaine 2% first injected lidocaine test dose of 3 ml, 5 min after the catheter in epidural space, subdivided times of 10 to 12 ml lidocaine anesthesia T8 ~~ S4 intravenous Ringer solution quickly enter the blood pressure was stable, intravenous instillation meperidine 50 mg droperidol 25 mg, to reduce intraoperative traction reaction. intraoperative anesthesia satisfaction, the good effect of muscle relaxants. 1.3 surgical procedures After the success of the anesthesia, the patients take suppression lying located on the operating table after routine disinfection shop towels, remove the abdomen pubic sy