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METHOD OF PREVENTING PULMONARY HYPERTENSION CRISES AFTER CORRECTION OF CONGENITAL HEART DISEASES IN CHILDREN

机译:纠正儿童先天性心脏病后预防肺动脉高压的方法

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to cardio-vascular surgery and anesthesiology in pediatrics and can be used in operative interventions caused by correction of congenital heart diseases in children. For this purpose 30 minutes before operation beginning 0.375% solution of ropivacaine is introduced into epidural cavity in amount 1 mg/kg. During operation infusion of 0.2% ropivocaine solution is carried out at rate 0.2-0.3 ml/kg/hour. In post-operational period constant infusion of 0.2% ropivocaine solution is continued at rate 0.1-0.2 ml/kg/hour during 2 days.;EFFECT: method allows to prevent expressed increase of pulmonary-arterial pressure in response to any stimuli due to post-ganglionic sympathetic blockade preventing activation of simpathico-adrenal system on tone of lesser circulation vessels.;1 ex
机译:技术领域本发明涉及医学,即涉及儿科的心血管外科和麻醉学,可用于矫正儿童先天性心脏病引起的手术干预。为此,在手术开始前30分钟,将0.375%的罗哌卡因溶液以1mg / kg的量引入硬膜外腔。在操作过程中,以0.2-0.3 ml / kg /小时的速度输注0.2%罗哌卡因溶液。术后2天持续以0.1-0.2 ml / kg /小时的速度持续输注0.2%的罗哌卡因溶液;效果:该方法可防止因后期刺激引起的肺动脉压明显升高。 -神经节交感神经阻滞,防止小循环血管张力引起的同情-肾上腺系统活化。

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