老年髋关节置换术中心房栓子二例
The Journal of Clinical Anesthesiology(2012)
Abstract
<正>例1,女,82岁,因摔倒致右股骨转子间骨折11d入院。既往有冠心病史5年,心房纤颤,胸椎压缩性骨折,拟行右人工股骨头置换术。全麻诱导平稳,诱导完成后建立左侧桡动脉直接测压。气管插管后以七氟醚吸入复合瑞芬太尼0.1~0.5μg·kg-1·min-1持续泵注维持麻醉。于全麻下置放经食管超声(TEE,VIVIDi,GE,美国)监测心脏功能与状态。置入探头于食管中段,示心脏四腔切面,各心腔未见异常,重点关注左右心房,左心房与左心耳内未见到有血栓存在。手
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