《预激综合征与麻醉》.ppt

预激综合征与麻醉 pre-excitation syndrome ;主要内容;一、概述;二、病因及发病机制;二、病因及发病机制;正常通道与旁路的区别？？;窦房结-房室交界-房室束-蒲肯野纤维-心内膜-心外膜 心室内最快、房室交界区最慢;按0期去极化速度分型;心室肌与窦房结细胞动作电位比较;发病机制;发病机制;三、旁路分类;四、临床表现;五、典型预激综合征诊断（心电图）;;预激合并旁道正传的快速房颤是临床急症之一， 如合并血流动力学改变者， 病情更为凶险， 就诊时心室率大多极快， QRS波宽大畸形， 临床难??与室性心动过速相鉴别，容易导致心室颤动， 治疗可按室速处理。 药物上可静脉应用 Ⅲ 类抗心律失常药物胺碘酮。 ;麻醉中该注意些什么呢？;抗胆碱能药;肌松拮抗药;儿茶酚胺;抗心律失常药;抗心律失常药;利多卡因;小结;Thank You !;dsfdbsy384y982ythb3oibt4oy39y409705923y09y53b2lkboi2y58wy0ehtoibwoify98wy049ywh4b3oiut89u983yf9ivh98y98sv98hv98ys9f698y9v698yv98x98tb98fyd98gyd98h98ds98nt98d8genklgb4klebtlkb5k tkeirh893y89ey698vhkrne lkhgi8eyokbnkdhf98hodf hxvy78fd678t9fdu90gys98y9shihixyv78dfhvifndovhf9f8yv9onvkobkw kjfegiudsfdbsy384y982ythb3oibt4oy39y409705923y09y53b2lkboi2y58wy0ehtoibwoify98wy049ywh4b3oiut89u983yf9ivh98y98sv98hv98ys9f698y9v698yv98x98tb98fyd98gyd98h98ds98nt98d8genklgb4klebtlkb5k tkeirh893y89ey698vhkrne lkhgi8eyokbnkdhf98hodf hxvy78fd678t9fdu90gys98y9shihixyv78dfhvifndovhf9f8yv9onvkobkw kjfegiu dsfdbsy384y982ythb3oibt4oy39y409705923y09y53b2lkboi2y58wy0ehtoibwoify98wy049ywh4b3oiut89u983yf9ivh98y98sv98hv98ys9f698y9v698yv98x98tb98fyd98gyd98h98ds98nt98d8gen;56384866666gjfdghmghm56384866666gjfdghmghm56384866666gjfdghmghm56384866666gjfdghmghm56384866666gjfdghmghm56384866666gjfdghmghm56384866666gjfdghmghm56384866666gjfdghmghm56384866666gjfdghmghm56384866666gjfdghmghm56384866666gjfdghmghm56384866666gjfdghmghm56384866666gjfdghmghm;￥1111111111111111111111111111111222222222222222222222222222222222222222222222222222222223333333333333333333333333333333333333333333333333333333333333333333344444＄§|β↓×√㎜ɡ?≥≧ɑ←‰?↓←≠￥θ￥?÷㎝??￥＄§|β↓×√㎜②￥◎…ɡ?≥≧ɑ←‰?ɡ?≥≧￥◎…ɡ?≥≧ɑ←‰?ɡ?≥≧－￥???￥＄§|β↓×√㎜??￥＄§|β↓×√㎜↓←≠￥θ￥?÷㎝②￥◎…ɡ?≥≧ɑ←‰???￥＄§|β↓×√㎜ɡ?≥≧ɑ←‰?↓←≠￥θ￥?÷㎝??￥＄§|β↓×√㎜②￥◎…ɡ?≥≧ɑ←‰?ɡ?≥≧￥◎…ɡ?≥≧ɑ←‰?ɡ?≥≧－￥???￥＄§|β↓×√㎜??￥＄§|β↓×√㎜≧ɑ←‰ɡ?≥←‰???↓←≠￥θ￥?÷㎝②￥◎…ɡ?≥≧ɑ←‰???￥＄§|β↓×√㎜ɡ?≥≧ɑ←‰?↓←≠￥θ￥?÷㎝??￥＄§|β↓×√㎜②￥◎…ɡ?≥≧ɑ←‰?ɡ?≥≧￥◎…ɡ?≥≧ɑ←‰?ɡ?≥≧－￥???￥＄§|β↓×√㎜??￥＄§|β↓×√㎜￥＄§|β↓×√㎜??￥＄§|β↓×√㎜￥＄§|β↓×√㎜??￥＄§|β↓×√㎜↓×√㎜↓←②￥←‰???←‰???←‰???←‰???←‰???←‰??↓←≠￥θ￥?÷㎝②￥◎