快通道麻醉方法应用于婴儿先心病矫治术60例（医学论文）.doc

快通道麻醉方法应用于婴儿先心病矫治术60例（医学论文）.doc:..快通道麻醉方法应用于婴儿先心病矫治术60例作者:侯立朝熊利泽李萌萌陈敏白晓光【关键词】麻醉/方法关键词:麻醉/方法洗心病;手术;拔管;婴儿摘要:(年龄1mo~la)拟接受先心病矫治手术的患儿,均采用小剂量***■异***瞇复合麻醉•观察围术期循环指标的变化及麻醉用药情况,患者术毕苏醒及拔管时间,、心率及中心静脉压在诱导后、手术开始前、劈胸骨后、转机前、停机后、手术结束时、,其ICU监护时间为(40±12)h;另有30例患儿术后拔管时间在3-18h之间,其ICU监护时间(69±36)h明显延长(与小于或等于3h组比较,P&lt;)淇余14例患儿术后拔管时间大于18h,其ICU监护时间(147±90)h进一步延长(与前两组比较,P&lt;).结论小剂量***■异***酥复合麻醉可以应用于婴儿先心病矫治手术,能在围术期维持循环稳定,为手术创造良好条件,有利于尽早拔管,:anesthesia-methods;congenitalheartdiseases;operations;extubation;infantAbstract:AIMToevaluatethefeasibilityoffast-trackcar-diacanesthesiaappliedtothepatientsundergoingscheduledcorrectiveoperationofcongenitalheartdiseases(CHD).binedanesthesiawithasmall-dose-fen-tanyl and isoflurane -ters,usageofanesthetics,postoperativerecoveryandextu-,heartrateandcentralvenouspressurehadnosig-nificantchangesamongpostinduction,pre-operation,post-sternotomy,beforeextracorporalbypass,a仕erextracorporalbypass,endofoperationandafterarrivingICUinallpatients(P&gt;O・paredwitheachother)・Of60patients,therewerel6oneswithextubationtime<3hours,whosestayinICUwas40±12hours;and30oneswithextubationtime&gt;3hoursbut<18hours,hadlongerICUstay(69±36hours)thanthatinpatientswithextubationtime<