| 开胸肿瘤手术术中突发心律失常的处理 |
| 投稿时间：2010-11-22 修订日期：2011-04-20 点此下载全文 |
| 引用本文：王海燕,刘晓艳,孙莉.开胸肿瘤手术术中突发心律失常的处理[J].医学研究杂志,2011,40(6):138-140 |
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| 中文摘要:目的总结分析16例开胸肿瘤手术患者术中突发严重心律失常的成功处理经验， 探讨胸科手术麻醉期间心律失常的发生原因及处理原则。方法术中连续监测患者心电图（ECG）、心率（HR）、血氧饱和度（SpO2）、呼末二氧化碳分压（PET CO2）、有创动脉压。记录患者术中心律失常发生的时间、术式、类型、治疗措施及效果。结果16例患者术中心律失常均得到有效控制。结论麻醉手术期间突发的严重心律失常，只要发现及时、诊断迅速、处理正确，可以成功有效地治疗，保证手术顺利安全完成。开胸手术术中有创动脉压监测非常重要，在心电图受到干扰时，也可及时发现问题。 |
| 中文关键词:开胸手术 麻醉 心律失常 监护 |
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| Management of Sudden Arrhythmias During Intraoperative in Thoracic Tumor Surgery |
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| Abstract:ObjectiveTo analyze successful treatment experiences of 16 patients with sudden severe arrhythmias during intraoperative in thoracic tumor surgery, and to discuss the cause and principles of arrhythmias during anesthesia in thoracic tumor surgery. MethodsWe continuously monitored ECG, HR, Sp O2, PET CO2 and invasive arterial blood pressure of patients during intraoperative. The time of occurrence, types, surgical ways and effect of treatment of arrhythmias were recorded . ResultsArrhythmias of 16 patients had been effectively controlled. ConclusionSudden severe arrhythmias during anesthesia can be successfully and effectively treated as long as being found in time, rapid diagnosis and proper treatment, in order to ensure safe completion of surgery. Invasive arterial blood pressure monitoring is very important in thoracic tumor surgery. It can help to timely detect cardiac problems during ECG interference. |
| keywords:Thoracic surgery Anesthesia Arrhythmia Monitoring |
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