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高血壓腦出血開顱血腫清除術(shù)的麻醉分析

發(fā)布時(shí)間:2018-07-04 12:46

  本文選題:高血壓 + 腦出血; 參考:《中西醫(yī)結(jié)合心血管病電子雜志》2016年20期


【摘要】:目的探討高血壓腦出血開顱血腫清除術(shù)的麻醉分析。方法選取我院接受開顱血腫清除術(shù)治療的高血壓腦出血患者60例作為研究對(duì)象,觀察其麻醉效果。結(jié)果全部患者均于誘導(dǎo)插管同時(shí)靜脈滴注硝酸甘油,血壓上升20~40 mm Hg32例,60 mm Hg以上8例。結(jié)論高血壓腦出血患者血腫清除術(shù)麻醉風(fēng)險(xiǎn)較高,要求醫(yī)生快速了解病情,評(píng)估患者循環(huán)和呼吸系統(tǒng)情況,通過(guò)氣管插管+靜吸復(fù)合麻醉維持循環(huán)呼吸穩(wěn)定,確保手術(shù)正常進(jìn)行。
[Abstract]:Objective to investigate the anesthetic analysis of craniotomy for hypertensive intracerebral hemorrhage. Methods Sixty patients with hypertensive intracerebral hemorrhage treated by craniotomy and hematoma clearance were selected as the study object and the anesthetic effect was observed. Results all the patients were treated with intravenous infusion of nitroglycerin at the same time of induction and intubation. The blood pressure was increased by 20 ~ 40mm Hg in 32 cases and above 60 mm Hg in 8 cases. Conclusion Hematoma clearance in patients with hypertensive intracerebral hemorrhage has a high anesthetic risk. It requires doctors to understand the condition quickly, to evaluate the circulation and respiratory system of the patients, and to maintain the circulatory and respiratory stability through tracheal intubation combined with anesthesia. Make sure the operation is performed properly.
【作者單位】: 黑龍江省嫩江縣人民醫(yī)院;
【分類號(hào)】:R614
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本文編號(hào):2096126

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