CAJ | 학술논문

目的：总结脑血管病介入栓塞术的全醉管理方法。方法：回顾性分析16例脑血管病人的麻醉管理,并结合文献进行讨论。结果：16患者麻醉过程中循环平稳,3例Hunt-Hess 3~4级患者保留气管导管送ICU,11例患者术毕10分钟内自主呼吸恢复满意且呼之睁眼,顺利拔管;2例喉罩通气患者术毕即刻拔除喉罩。13例拔管（喉罩）患者均于15 min内定向力恢复。结论：完善的麻醉前评估和准备,使用短效的麻醉药物,Hunt-Hess 1~2级患者采用喉罩通气,可满足术中血流动力学平稳,术毕快速、平稳苏醒,早期进行神经功能检查的需求。
목적：총결뇌혈관병개입전새술적전취관리방법。방법：회고성분석16례뇌혈관병인적마취관리,병결합문헌진행토론。결과：16환자마취과정중순배평은,3례Hunt-Hess 3~4급환자보류기관도관송ICU,11례환자술필10분종내자주호흡회복만의차호지정안,순리발관;2례후조통기환자술필즉각발제후조。13례발관（후조）환자균우15 min내정향력회복。결론：완선적마취전평고화준비,사용단효적마취약물,Hunt-Hess 1~2급환자채용후조통기,가만족술중혈류동역학평은,술필쾌속、평은소성,조기진행신경공능검사적수구。
Objective: To summarize the general anesthesia management in interventional embolization therapy in cerebrovascular disease.Methods: Sixteen cases of cerebrovascular disease accepted general anesthesia were analyzed retrospectively,and the related literature was reviewed.Results: Sixteen cases were stable in haemodynamics during anesthetic process.Three cases of Hunt-Hess class 3-4 were nursed in ICU with endotracheal tube treatment after surgery.Eleven cases with spontaneous respiration and opened eyes in ten minutes after surgery were extubated successfully.Two cases treated with laryngeal mask airway(LMA) were removed immediately after surgery.All 13 patients who had been removed intubation/LMA were orientation recovery in fifteen minutes after surgery.Conclusion: Perfect evaluation and preparation before anesthesia,short-acting anesthetics,LMA application in Hunt-Hess class1-2 patients could ensure haemodynamics steady during surgery,patients could be recovery rapidly and smoothly after surgery, and capable to conduct early neurological assessment.