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Contemporary anesthesia practice最新文献

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Effects of anesthetics and anesthetic adjuvants on the heart. 麻醉药及麻醉佐剂对心脏的影响。
Pub Date : 1980-01-01
R G Merin
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引用次数: 0
Diagnosis and therapy of perioperative arrhythmias. 围手术期心律失常的诊断与治疗。
Pub Date : 1980-01-01
J L Atlee

Cardiac arrhythmias are extremely common in the perioperative setting. They only require treatment when they (1) interfere significantly with normal tissue perfusion; (2) adversely affect the normal balance between myocardial oxygen supply and demand; or (3) predispose the patient to ventricular tachycardia or fibrillation. Usually, the treatment is simple: correct the underlying cause or causes. In some instances, either the cause will not be apparent or time will not permit adequate identification of the precipitating events. In these instances, drug treatment or electrical therapy is indicated. The classification of arrhythmias and the actions, indications, dosages and routes, and major side effects of the drugs commonly used in their treatment are summarized in Tables 1 through 3. The indications for electrical therapy, including pacemakers and cardioversion, were discussed in the sections dealing with bradyarrhythmias, tachyarrhythmias, and AV conduction block.

心律失常在围手术期非常常见。只有在以下情况下才需要治疗:(1)明显干扰正常组织灌注;(2)不利地影响心肌供氧量和需氧量的正常平衡;或(3)使患者易发生室性心动过速或纤颤。通常,治疗方法很简单:纠正潜在的原因。在某些情况下,要么原因不明显,要么时间不允许充分确定突发事件。在这些情况下,需要药物治疗或电疗。心律失常的分类及治疗常用药物的作用、适应症、剂量、途径、主要副作用汇总于表1 - 3。电疗的适应症,包括起搏器和心律转复,在处理慢速心律失常、快速心律失常和房室传导阻滞的章节中进行了讨论。
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引用次数: 0
Surgery of the parathyroid glands. 甲状旁腺手术
Pub Date : 1980-01-01
H V Villar, S L Wangensteen

Surgical procedures involving the parathyroid glands pose special problems. Careful attention to preoperative rehydration, control of hypercalcemia, and evaluation of renal function are mandatory. Intraoperative management is usually uncomplicated. Severe hypocalcemia may complicate the postoperative period, especially if severe bone disease is present.

涉及甲状旁腺的外科手术会带来特殊的问题。注意术前补液,控制高钙血症,评估肾功能是必须的。术中处理通常并不复杂。严重的低钙血症可能使术后复杂化,特别是如果存在严重的骨病。
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引用次数: 0
Anesthesia and congenital heart defects. 麻醉和先天性心脏缺陷。
Pub Date : 1980-01-01
H D Allen
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引用次数: 0
Anesthetic management for insulinoma resection. 胰岛素瘤切除术的麻醉处理。
Pub Date : 1980-01-01
S L Suffecool
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引用次数: 0
Hypotension during noncardiac anesthesia in the cardiac patient. 心脏病人非心脏麻醉时的低血压。
Pub Date : 1980-01-01
G Y Gaines, A H Giesecke
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引用次数: 0
Postoperative prognosis in patients with pre-existing heart disease. 既往心脏病患者的术后预后。
Pub Date : 1980-01-01
R B Knapp
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引用次数: 0
Influence of general anesthesia and surgical stress on endocrine function. 全麻和手术应激对内分泌功能的影响。
Pub Date : 1980-01-01
T Oyama
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引用次数: 0
The renin-angiotensin system in anesthesia. 麻醉中的肾素-血管紧张素系统。
Pub Date : 1980-01-01
E D Miller
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引用次数: 0
Central diabetes insipidus. 中枢性尿崩症。
Pub Date : 1980-01-01
J H Finley
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引用次数: 0
期刊
Contemporary anesthesia practice
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