氟烷麻醉下犬猫不规则脉搏分析。

H. Yamamura, S. Saegusa, F. Ochiai, T. Ise, R. Kimura, N. Takaishi, T. Ishizaki
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引用次数: 0

摘要

猫和狗采用硫喷妥钠麻醉,氟烷维持麻醉。对这些动物进行对比研究,以明确在临床常规操作中引起不规则脉搏的程度、在麻醉期间出现不规则脉搏的时间、持续的时间、不规则脉搏的类型和发生的原因。除硫喷妥钠引起的心动过速外,886只猫71只(8.0%)和652只狗20只(3.1%)在麻醉期间出现脉搏不规则。因此,猫的IP发生率高于狗。麻醉期间诱发的IP类型多种多样,包括上室早搏、室早搏、多室异位搏、一、二、三度房室传导阻滞、房室解离、心房静止、交变脉、窦性心动过缓、窦性静止。犬常发生的心律失常类型为室性早搏,猫常发生多发室性异位心律失常。近一半的病例是在麻醉后10分钟由该药引起的。麻醉维持中发现的IP多由内脏牵引、结扎等人为原因引起。麻醉过程中出现IP的动物,从麻醉开始一直到苏醒,几乎都伴有一些辅助药物的副作用,一般情况较差,伴有严重的贫血和体温过低,血清电解质异常。必须特别注意IP,它伴有QT延长、窦性心动过缓和ST段下降。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of irregular pulse in dogs and cats under halothane anesthesia.
Anesthesia was introduced with sodium thiopental and maintained with halothane in cats and dogs. Comparative studies were made on these animals to clarify what extent irregular pulse (IP) was induced to in the routine clinical practice, when IP appeared in the period of anesthesia, how long IP continued, and the type and cause of occurrence of IP.Irregular pulse in the period of anesthesia, except tachycardia induced by sodium thiopental, was found in 71 of 886 cats (8.0%) and 20 of 652 dogs (3.1%) . Therefore, the rate of occurrence of IP was higher in the cats than in the dogs.The types of IP induced in the period of anesthesia were various, including upper ventricular early beat, ventricular early beat, multiple ventricular heterotopic beat, atrioventricular block of the first, second, and third degree, atrioventricular dissociation, atrial standstill, alternating pulse, sinus bradycardia, and sinus standstill.The type of IP of frequent occurrence was ventricular early bea t in the dogs and multiple ventricular heterotopic beat in the cats. It was induced by the drug in nearly half of all the cases 10 minutes after the introduction of anesthesia. IP noticed in the maintenance of anesthesia was induced by artificial causes, such as visceral traction and ligation, in many cases. Animals showing IP during anesthesia extending from introduction to wakin were almost always suffering from the side effects of some auxiliary drugs, bad general conditions with serious anemia and hypothermia, and abnormality in serum electrolytes.Particular attention had to be paid to IP which was accompanied with the extension of QT, sinus bradycardia, and the descent of ST.
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