中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2010年
4期
323-325
,共3页
时文珠%孙立%公茂伟%米卫东%张宏%陈晓雷%许百男
時文珠%孫立%公茂偉%米衛東%張宏%陳曉雷%許百男
시문주%손립%공무위%미위동%장굉%진효뢰%허백남
磁共振成像%围术期%安全%麻醉%神经外科
磁共振成像%圍術期%安全%痳醉%神經外科
자공진성상%위술기%안전%마취%신경외과
Magnetic resonance imaging%Intraoperative period%Safety%Anesthesia%Neurosurgery
目的 结合133例进行围术期磁共振成像的神经外科手术患者处理体会,初步探讨该类手术的安全问题.方法 观察在术中磁共振成像手术室(iMRI-OR)进行术前、术中扫描及术后进入检查室进行扫描的患者,记录围术期与扫描相关的安全问题.结果 所有患者顺利完成了术前、术中及术后扫描,未发生与围术期扫描相关的意外及并发症.结论 围术期磁共振成像安全问题至关重要,其顺利进行需要团队成员的通力合作,麻醉医生的首要职责是保障患者围术期的安全平稳,严格的安全防范措施及细致的工作制度必不可少.
目的 結閤133例進行圍術期磁共振成像的神經外科手術患者處理體會,初步探討該類手術的安全問題.方法 觀察在術中磁共振成像手術室(iMRI-OR)進行術前、術中掃描及術後進入檢查室進行掃描的患者,記錄圍術期與掃描相關的安全問題.結果 所有患者順利完成瞭術前、術中及術後掃描,未髮生與圍術期掃描相關的意外及併髮癥.結論 圍術期磁共振成像安全問題至關重要,其順利進行需要糰隊成員的通力閤作,痳醉醫生的首要職責是保障患者圍術期的安全平穩,嚴格的安全防範措施及細緻的工作製度必不可少.
목적 결합133례진행위술기자공진성상적신경외과수술환자처리체회,초보탐토해류수술적안전문제.방법 관찰재술중자공진성상수술실(iMRI-OR)진행술전、술중소묘급술후진입검사실진행소묘적환자,기록위술기여소묘상관적안전문제.결과 소유환자순리완성료술전、술중급술후소묘,미발생여위술기소묘상관적의외급병발증.결론 위술기자공진성상안전문제지관중요,기순리진행수요단대성원적통력합작,마취의생적수요직책시보장환자위술기적안전평은,엄격적안전방범조시급세치적공작제도필불가소.
Objective To discuss the safety issues related to intraoperative magnetic resonance imaging (iMRI) in neurosurgical anesthesia.Methods We observed neurosurgery patients undergone MRI scanning in iMRI operation room preoperatively,intraoperatively and in diagnostic room shortly after operation between February to July in 2009. All patients were investigated for MRI contraindication preoperatively.The doctors and nurses participated in the procedure were trained strictly.The patients finished MRI scanning with general anesthesia.With the support of MRI-compatible machines(anesthetic machine,monitor,infusion pumps),safety issues related to scanning were recorded.Results All patients finished the MRI scanning safely,including 120 cases undergone intraoperative scanning(the average scannig times Wag 1.7 min)and 13 cases undergone postoperatively scannig.Patients remained stable during scanning.There was remarkably strong interference on electrocardiogram(ECG)in static MRI field and different scanning sequences,such as ECG baseline changed,muhiphagic ST-segment alterations and"severe arrhythmia",moreover the vital signs were stable.All anasthetic procedures were performed successfully,and the instruments were running well. There Wag no MRI-scanning releated complication.Conclusions During iMRI scanning,the safety considerations are important which need team-working.Anaesthetists play an important role to guarantee the patients'safety.Safety precautions and vigilance are necessary.