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fei ti wai xun huan xia guan zhuang dong mai da qiao shou shu de ma zui guan li ji xue liu dong li xue de bian hua
Author(s): 
Pages: 50-51
Year: Issue:  z2
Journal: CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE

Keyword:  非体外循环下冠状动脉搭桥手术血流动力学;
Abstract: 目的 观察非体外循环下冠状动脉搭桥手术的术中麻醉管理及血流动力学的变化.方法 20例冠心病患者、于诱导前、切皮前、前降支吻合、右冠状动脉吻合、回旋支吻合、手术结束时,观察血流动力学的变化.结果 心脏操作时、吻合左前降支和右冠状动脉时对血流动力学影响小.吻合回旋支时平均动脉压(MAP)、SV、CI显著下降.结论 冠心病患者均能安全渡过非体外循环下冠状动脉搭桥手术,只有在搭回旋支时,血压,SV,CI易下降.MAP、SV、CI均下降而心率、中心静脉压上升.
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