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患者男性,7岁,体重20kg,住院号291977。1月前因阵发性左下腹部疼痛就诊。查体B超发现:左房、左室左侧——巨大卵圆形液性暗区,液性暗区大小为11.5×6.8×8.2cm,与左房相通。诊断:左心房壁瘤。X线片报告:左侧胸腔少量积液,左半心增大显著。ECG:心律71次/分,P波在Ⅱ、Ⅲ,avF呈双峰,窦不齐,电轴左偏+90°。化验检查:血红蛋白11.7g/L,红细胞4.5×10~(12)/L,白细胞5.0×10~9/L,淋巴0.34,中性0.64.出凝血时间平均2分钟,定于在全麻下行左心房壁瘤切除术(备体外循环)。术前30分钟肌注安定5mg,东莨菪碱0.2mg。麻醉方法:入室后麻醉诱导,静脉给予安定8mg,潘可罗宁1.7mg,插入气管导管,吸入安氟醚维持,术中平稳。手术历时1小时30分钟结束。术中NBP
The patient was male, 7 years old, weighing 20 kg, hospital number 291977. He was referred for paroxysmal left lower abdominal pain 1 month earlier. Examination of B ultrasound found: left atrial, left ventricular left - giant ovoid liquid dark area, liquid dark area size of 11.5 × 6.8 × 8.2cm, connected with the left atrium. Diagnosis: Left atrial aneurysm. X-ray report: A small amount of effusion on the left side of the chest, the left half increased significantly. ECG: Heart rate 71 beats/min, P wave was doublet in II, III, avF, sinuses were uneven, and the left axis was +90°. Laboratory tests: Hemoglobin 11.7g/L, red blood cells 4.5×10 12/L, white blood cells 5.0×10~9/L, lymph 0.34, neutral 0.64. The clotting time is 2 minutes on average, and is scheduled to be left in the general anesthesia. Atrial aneurysm resection (extracorporeal circulation). Intramuscular administration of 5 mg 30 minutes before surgery, scopolamine 0.2 mg. Anesthesia: Anesthesia induction after admission, intravenous administration of diazepam 8mg, Pancuronine 1.7mg, insertion of endotracheal tube, inhaled enflurane maintenance, stable intraoperative. The operation lasted 1 hour and 30 minutes. Intraoperative NBP