心脏及大血管病人手术.ppt
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参见附件(155kb)。
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 ......
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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