本文選題：心臟瓣膜置換術(shù) + 急診�。� 參考：《中國衛(wèi)生標(biāo)準(zhǔn)管理》2016年04期

【摘要】：目的對心臟瓣膜置換術(shù)患者的麻醉和體外循環(huán)管理方法進(jìn)行探討分析。方法根據(jù)我院接收的13例接受心臟瓣膜置換手術(shù)的患者進(jìn)行研究分析,對患者圍手術(shù)期接受麻醉的方法以及循環(huán)維持方法進(jìn)行總結(jié)歸納,使用體外循環(huán)時,要提供平穩(wěn)的體外循環(huán)操作和有效的心肌功能保護(hù)。結(jié)果此次研究的13例患者接受治療后均順利的脫離體外循環(huán),臨床自動復(fù)跳率是76.9%,共有5例患者使用魚精蛋白出現(xiàn)了不良反應(yīng),我們經(jīng)過積極的救治后,均順利康復(fù)。結(jié)論急診心血管手術(shù)的要點(diǎn)是快速為患者建立體外循環(huán),對手術(shù)過程進(jìn)行精細(xì)管理,保護(hù)好心肌和其他重要器官,為手術(shù)治療提供可靠的基礎(chǔ)。
[Abstract]:Objective to analyze the management of anesthesia and cardiopulmonary bypass in patients with cardiac valve replacement. Methods according to 13 patients who received cardiac valve replacement operation, the methods of anesthesia and circulation maintenance in perioperative period were summarized and summarized, which were used in cardiopulmonary bypass (CPB). To provide smooth cardiopulmonary bypass operation and effective myocardial protection. Results the 13 patients in this study were successfully released from cardiopulmonary bypass (CPB), and the rate of automatic resuscitation was 76.9%. A total of 5 patients had adverse reactions with protamine. After active treatment, all patients recovered smoothly. Conclusion the key point of emergency cardiovascular surgery is to establish cardiopulmonary bypass (CPB) for patients, to manage the operation process, to protect myocardium and other important organs, and to provide a reliable basis for surgical treatment.
【作者單位】： 山東省青島新陽光婦產(chǎn)醫(yī)院;
【分類號】：R614

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