节点文献

地震掩埋伤员的麻醉处理

Anesthesia for wounded patients buried in earthquake

  • 推荐 CAJ下载
  • PDF下载
  • 不支持迅雷等下载工具,请取消加速工具后下载。

【作者】 吴悦惟李永旺杨天德包晓航黄静张晓东陈杰金涛何澜

【Author】 WU Yue-wei,LI Yong-wang,YANG Tian-de,et al.(Department of Anesthesiology,Xinqiao Hospital,Third Military Medical University,Chongqing 400037,China)

【机构】 第三军医大学新桥医院麻醉科

【摘要】 目的总结地震掩埋伤患者的麻醉处理及注意事项。方法回顾性分析了16例掩埋伤患者的19例次麻醉情况、特殊患者的处理以及术中监测和麻醉管理要点。结果除个别危重患者(长时间掩埋)术中出现与容量和麻醉深度无关的血压、心率波动外,麻醉效果满意,所有全身麻醉患者术后顺利拔管,无麻醉相关并发症发生。结论地震掩埋伤患者、尤其是长时间掩埋伤员适当的术前准备和麻醉选择非常重要,麻醉中加强心肺等重要脏器功能监测和维护是麻醉成功的重要环节,危重患者血流动力学不稳定可能与强烈应激后植物神经功能紊乱有关。

【Abstract】 Objective To summarize the anesthetic management and announcement of wounded patients buried in earthquake.Methods The anesthesia informations of 19 times,the management of specific case,and the monitoring and main points of anesthesia were analyzed respectively.Results All anesthetic managements were successful,the patients with general anesthesia were extubated smoothly and no complication associated anesthesia happened except a few patients(buried for long time) with the undulation of blood pressure and heart rate independent to blood volume and depth of anesthesia.Conclusion The adequate preoperative preparation and the choice of anesthesia for the wounded patient buried in earthquake(especially buried for long time) may be very important,the significant component of anesthesia should strengthen the monitoring and maintenance of vital organs such as heart and lung,the instability of haemodynamics in the critical patients would be contributed to the functional disorder of autonomic nerve after intensity stress.

【关键词】 麻醉地震掩埋患者
【Key words】 anesthesiaearthquakeburypatient
  • 【文献出处】 重庆医学 ,Chongqing Medicine , 编辑部邮箱 ,2008年16期
  • 【分类号】R614
  • 【被引频次】1
  • 【下载频次】19
节点文献中: