国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2009年
2期
90-91
,共2页
硬膜外麻醉%全髋置换术
硬膜外痳醉%全髖置換術
경막외마취%전관치환술
epidural anesthesia%total hip replacement
目的 总结老年患者全髋置换术的麻醉体会.方法 仝绀50例,全部采用连续硬外麻醉,术中常规监测MAP、HR、SPO2,合并糖尿病者约45 min监测血精一次.结果 硬膜外阻滞下,所有患者麻醉效果满意,血压均有不同程度下降,适量应用胶体溶液进行容量治疗,备好麻黄碱和阿托品,既有利于维持血压平稳、改善血液流变学指标,节约川血和减少输血发症,也可以减少老年患者肺郎感染的发生率,还呵以用硬膜提供良好的术后镇痛,减少术后并发症的发生.结论 老年患者全髋置换术行连续硬膜外麻醉有利于减少老年人术后并发症的发生,提高康复质量.
目的 總結老年患者全髖置換術的痳醉體會.方法 仝紺50例,全部採用連續硬外痳醉,術中常規鑑測MAP、HR、SPO2,閤併糖尿病者約45 min鑑測血精一次.結果 硬膜外阻滯下,所有患者痳醉效果滿意,血壓均有不同程度下降,適量應用膠體溶液進行容量治療,備好痳黃堿和阿託品,既有利于維持血壓平穩、改善血液流變學指標,節約川血和減少輸血髮癥,也可以減少老年患者肺郎感染的髮生率,還呵以用硬膜提供良好的術後鎮痛,減少術後併髮癥的髮生.結論 老年患者全髖置換術行連續硬膜外痳醉有利于減少老年人術後併髮癥的髮生,提高康複質量.
목적 총결노년환자전관치환술적마취체회.방법 동감50례,전부채용련속경외마취,술중상규감측MAP、HR、SPO2,합병당뇨병자약45 min감측혈정일차.결과 경막외조체하,소유환자마취효과만의,혈압균유불동정도하강,괄량응용효체용액진행용량치료,비호마황감화아탁품,기유리우유지혈압평은、개선혈액류변학지표,절약천혈화감소수혈발증,야가이감소노년환자폐랑감염적발생솔,환가이용경막제공량호적술후진통,감소술후병발증적발생.결론 노년환자전관치환술행련속경막외마취유리우감소노년인술후병발증적발생,제고강복질량.
Objective To discuss the anesthesia experience for the elderly patients undergoing total. Methods All 50 cases received the epidural anesthesia, during the operation, MAP,HR and SPO2 were monitored. The blood glucose was monitored for each 45 minutes for the diabetes patients. Results All patients satisfied with the effect of epidural anesthesia, blood pressure dropped to varying degrees, the appropriate colloidal solution was used to expand capacity, prepared baek-ephedrine and alropine. These measures help maintain a stable blood pressure, iinprove the blood indexes, save blood transfllsion, reduce the ineidenee of lung infection, also provide a good postoperative epidnral analgesia. reduce Ihe occurrence of postoperative complications. Conclusion Continuous epidural anesthesia in ehterly patients with total hip replacement might help reduce postoperative complications and improve the quality of rehabililtation.
