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心脏及大血管病人手术.ppt
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    PREIOPERATIVE POTENTIAL

    DRUGS ADVANTAGES DISADVANTAGES

    Digitalis glycosides Inotropic effect Arrhythmias

    Control of ventricular response Exacerbation of hypokalemia

    to rapid atrial rates

    ?-Adrenergic Less tachycardia, dysrhythmias Bronchospasm, less response to

    receptor blockers and hypertention ?-stimulants

    Calcium channel Control dysrhythmias Reduced response to inotropes

    blockers Prevent coronary artery spasm and vasopressors

    Reduce hypertention Atrioventricular conduction

    block

    Peripheral vasodilation after CPB

    Antihypertension Less hypertension Drug interactions

    drugs Peripheral vasodilation after CPB ......

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