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《Journal of Hepatobiliary Surgery》 2005-05
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PERIANESTHETIC MANAGEMENT OF PATIENTS WITH CORONARY HEART DISEASE AFTER LAPAROSCOPIC CHOLECYSTECTOMY

(LI Zhi-xiang,ZHANG-Jiang,WANG Guo-rong,et al.The Anhui Armed Policemem Hospital,Hefei 230041,China))  
Objective To investigate the perianesthetic management of patients whti coronary heart disease after laparoscopic cholecystectomy(LC.)Methods 142 patients with coronary heart disease were anesthetized with fentanyl and etomidate during operation.Nitroglycerin and esmolo were administrated to maintain the stability of hemodynamics according to the readings of blood pressure,heart rate and electrocardio-monitoring.Result 135 patients came into consciousness and recovered their respiratory function and muscular tension 5 minutes after withdrawl,while 7 patients took 10 minutes.In all cases,the complications such as heart failure ,myocardial infarction,ventricle arrhythmia and anesthetic accident didn't happen and the circulatory system function was stable during the peri-anesthesia period.These patients' postoperative recovery was also good.Conclusion Using fentanyl and etomidate mainly,decreasing the Co_2 pneumoperitoneum pressure and supplying oxyegn sufficiently,administrating reasonable nitroglycerin and esmolo in operation are helprul to maintain the stability of circulatory system.LC can be accmplished with reasonable anesthesia because it has little trauma and stimulation on patients and doesn't take much time.
【CateGory Index】: R614
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