中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
1期
255-257
,共3页
全麻苏醒期躁动%病因%诊断%治疗
全痳囌醒期躁動%病因%診斷%治療
전마소성기조동%병인%진단%치료
Emergence agitation%Etiology%Diagnosis%Treatment
全麻苏醒期躁动(emergence agitation,EA)为一种业已熟知的临床现象,但其机制尚未阐明.可能由在不熟悉的环境下迅速苏醒、疼痛(创伤、咽喉炎、膀胱膨胀等)、诱导期紧张、低氧血症、气道梗阻、喧闹的环境、麻醉持续时间、患者的个性、术前用药和麻醉的类型等因素诱发.本文主要讨论术后躁动的可能原因,提供更好的识别和预防此类问题的方法.
全痳囌醒期躁動(emergence agitation,EA)為一種業已熟知的臨床現象,但其機製尚未闡明.可能由在不熟悉的環境下迅速囌醒、疼痛(創傷、嚥喉炎、膀胱膨脹等)、誘導期緊張、低氧血癥、氣道梗阻、喧鬧的環境、痳醉持續時間、患者的箇性、術前用藥和痳醉的類型等因素誘髮.本文主要討論術後躁動的可能原因,提供更好的識彆和預防此類問題的方法.
전마소성기조동(emergence agitation,EA)위일충업이숙지적림상현상,단기궤제상미천명.가능유재불숙실적배경하신속소성、동통(창상、인후염、방광팽창등)、유도기긴장、저양혈증、기도경조、훤료적배경、마취지속시간、환자적개성、술전용약화마취적류형등인소유발.본문주요토론술후조동적가능원인,제공경호적식별화예방차류문제적방법.
Postoperative agitation is a well-documented clinical phenomenon. There is no definitive explanation for this agitation. Possible causes include rapid awakening in unfamiliar settings, pain (wounds, sore throat,bladder distension, etc.) , stress during induction, hypoxemia, airway obstruction, noisy environment,anesthesia duration, patient's personality, premedication and type of anesthesia. The purpose of this paper is to discuss the possible causes of postoperative agitation, providing a foundation for better methods of identifying and preventing this problem.