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急性化脓性胆管炎急症手术的麻醉处理

The Anesthesia Effect analyse In Emergent operation of Acute supparative Choiangitis.

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【作者】 彭程朱坚忠

【Author】 PENG Cheng,ZHU Jianzhong.Department of Anesthesia of The Worker’s Hospital of Hainan province,HaiKou,570311.

【机构】 海南省农垦总局医院麻醉科海南省农垦总局医院麻醉科 海口570311海口570311

【摘要】 目的 了解怎样选择急性化脓性胆管炎手术的麻醉方法和术中的麻醉处理。方法  78例严重患者选用气管内全麻 (静脉复合麻醉或静吸复合麻醉 ) ,3 0例病情较轻患者选用硬膜外麻醉。结果 气管内全麻对循环影响小 ,硬膜外麻醉血压下降明显。术中 1例呼吸心搏骤停 ,复苏成功 ,术后 2例死亡 ,余均痊愈出院。结论 麻醉处理的关键是循环管理 ,对严重循环抑制病例应选用气管内全麻 ,选用硬膜外阻滞应慎重。

【Abstract】 Objectives: In ordor to Select the Anesthesia Methods and analyse the effect in Emergent operation of Acute Supparative Cholangitis.Methods We have compared the effect of Intracheal.Anesthesia Which be used on 78 cases of Emegent operation of serious Acute Supparative Cholangitis with the Epidural Anesthesia used on 30 cases of that.Results: The intra-tracheal Anesthesia has less infection to the circulation.During the Epidural Anesthesia,the blood pressure fall Obviously,the heart-beating-stop has taken place in I Case.Conclusions:Paying a close attention to the circulation is very important during the Anesthesia,On the cases with a serious circulation-disturbance,the intratracheal Anss-thesia shoulcl be the preferrer.

  • 【文献出处】 海南医学 ,Hainan Medical Journal , 编辑部邮箱 ,2002年05期
  • 【分类号】R614
  • 【下载频次】17
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