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左房粘液瘤手术的麻醉(附5例报告)

Anesthetic management for operations on left atrial myxoma (with a report of 5 cases)

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【作者】 王庚显巴凤海马占文刘兴安

【Author】 Wang Gengxian, Ba Fenghai, Ma Zhanwen and Liu Xing an

【机构】 白求恩医科大学第三临床学院麻醉科空军长春医院麻醉科

【摘要】 作者复习有关文献,结合5例左房粘液瘤手术的麻醉,进行了讨论。指出麻醉管理上的几个特点,选用吗啡、芬太尼或单用芬太尼静脉复合麻醉,在麻醉诱导和维持期血压与心率均较平稳。认为在麻醉前对此病的特点应有充分的了解和估计,选用吗啡或芬太尼静脉复合麻醉是可行的,不但有其优点,而且也是安全的。

【Abstract】 Left atrial myxoma is not common,and great progress on its accurate diagnosis has been acquired with application of ultrasonic cardiography in recent years.These patients are easily subjected to embolism,cardiac failure and even sudden death.Therefore, some special care is required during anesthesia and operation.Reviewing related references and summarizing the experience of our 5 patients, the authors concluded that morphine and/or fentanyl balance anesthesia is suitable for operations on left atrial myxoma.

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