CAJ | 학술논문

目的对休克患者的麻醉处理措施进行探讨。方法选取从2011年1月到2013年1月收治的220位休克患者，其中有178位男性患者，有42位女性患者。对患者休克原因、休克严重程度、麻醉前处理以及麻醉方法的选择进行分析。结果全麻患者效果较为理想，肌肉松弛也比较良好。其中有138位患者在术后逐渐恢复；有21位患者在术后死亡，死亡原因：有6位患者为肾功能衰竭、有3位患者为肝昏迷、有8位患者为循环衰竭、4位患者为急性呼吸困难综合征。采取硬膜外阻滞麻醉的患者效果良好。结论在手术前与手术中要进行积极的抗休克，同时要选择适合休克患者的麻醉方法。患者在手术后会出现不同程度的呼吸困难现象，所以加强患者术后呼吸的管理，此外，在手术后要采取硬膜外镇痛，但是对于呼吸困难的患者要慎用。
목적대휴극환자적마취처리조시진행탐토。방법선취종2011년1월도2013년1월수치적220위휴극환자，기중유178위남성환자，유42위녀성환자。대환자휴극원인、휴극엄중정도、마취전처리이급마취방법적선택진행분석。결과전마환자효과교위이상，기육송이야비교량호。기중유138위환자재술후축점회복；유21위환자재술후사망，사망원인：유6위환자위신공능쇠갈、유3위환자위간혼미、유8위환자위순배쇠갈、4위환자위급성호흡곤난종합정。채취경막외조체마취적환자효과량호。결론재수술전여수술중요진행적겁적항휴극，동시요선택괄합휴극환자적마취방법。환자재수술후회출현불동정도적호흡곤난현상，소이가강환자술후호흡적관리，차외，재수술후요채취경막외진통，단시대우호흡곤난적환자요신용。
Objective To shock the patient's anesthetic treatment measures were discussed .Methods From January 2011 to January 2013 shock patients admitted to 220,of which 178 male patients,42 female patients.Cause shock to the patient,the severity of shock,anesthesia and anesthetic pretreatment method of choice for analy-sis.Results Patients with more satisfactory results anesthesia,muscle relaxation is relatively good.Including 138 patients after gradually recovered;has 21 patients after death,cause of death:There are six patients with kidney failure,there are three patients with hepatic coma,there are eight patients circulatory failure,4 patients with acute dyspnea syndrome.Take epidural anesthesia in patients with good results.Conclusion Before surgery and surgery to be actively anti -shock,but to choose appropriate method of anesthesia in patients with shock .After surgery in patients with varying degrees of difficulty breathing phenomenon ,we strengthen the management of postopera-tive breathing,in addition,to take epidural analgesia after surgery,but should be used with caution in patients with dyspnea.