心脏移植患者麻醉诱导首选（）。
A.异丙酚+芬太尼诱导
B.异氟烷+吗啡诱导
C.硫喷妥钠+吗啡诱导
D.异丙酚+氯胺酮诱导
E.咪达唑仑+芬太尼诱导
参考答案：E
解析：1967年，南非的Barnard成功地进行了首例人类心脏移植，心脏移植患者多数为经常规内、外科治疗无法治愈的终末期心脏病患者，包括冠状动脉粥样硬化性心脏病、心肌病、心瓣膜病、心肌内膜纤维变性、先天性心脏病和难以切除的心脏肿瘤等，年龄在70岁以下，完善的内科治疗后心功能仍为Ⅲ～Ⅳ级，心脏射血分数低于20%，估计生存时间不足1年者。因此，麻醉诱导力求平稳，对循环影响较小的最佳。
One day a mother mouse and her babies were out. They were enjoying 小题1: games. Suddenly a hungry cat came up to them! The cat hid（藏） 小题2: a big tree. She could hear the mice talk. After the mother mouse and her babies knew what had happened, the cat jumped from her hiding-place and started 小题3: run after them. The mother mouse and her babies began to run away. They hurried towards their 小题4: But the baby mice were 小题5: frightened that they could not run very 小题6: . The cat came 小题7: . What was to be done? The mother mouse stopped running, turned round and faced the cat, shouting “Bow! Wow! Bowwow!” just like an angry dog. The cat was so 小题8: that she ran away. The mother mouse turned to her babies, “Now you see how important it is to learn a 小题9: language!” Just then she heard a shout "Miao! Miao!" just like the cat. “Oh, the cat's coming back. We must run right now.” The mother mouse called out to her children. “Haha! It's only a 小题10: ”said one of her children. “I have learned a foreign language.” |