小剂量腰麻在高龄地震伤员中的应用

英文篇名：Effect of low dose spinal anesthesia on the elderly earthquake victims
中文刊名：临床急诊杂志
英文刊名：Journal of Clinical Emergency Call
作者：徐贵森 ; 杨晓鲲 ; 代雪梅 ; 杨淑霞
英文作者：XU Guisen1 YANG Xiaokun1 DAI Xuemei2 YANG Shuxia3 (1Emergency Department ; Chengdu Military Command General Hospital ; Chengdu ; 610083 ; China ; 2 Department of Anaesthesiology ; Chengdu Military Command General Hospital ; 3 Centre of Resarch and Experimentation ; Chengdu Medical College)
中文关键词：腰麻 ; 高龄 ; 地震伤员
英文关键词：spinal anesthesia ; the elder ; earthquake victim
出版日期：2011-02-28
机构：成都军区总医院急诊科;成都军区总医院麻醉科;成都医学院科研实验中心;
年：2011
期：01
出版单位：临床急诊杂志

摘要

目的:评价小剂量腰麻对高龄地震伤员的麻醉效果及安全性。方法:对55例75岁以上、胸10平面以下手术的高龄地震伤员使用7.5mg布比卡因做小剂量腰麻,记录伤员麻醉前后呼吸频率(RR)、心率(HR)、平均动脉压(MAP)、血氧饱和度(SpO2)及pH、PaO2、PaCO2,术中及术后24h随访并记录麻醉并发症。结果:所有伤员麻醉效果满意,均安全接受手术。麻醉后除MAP降低(P<0.05)外,RR、HR、pH值、PaO2及PaCO2不变(P>0.05)。1例术中发生呼吸抑制,2例术后尿潴留,未发现其他麻醉意外和并发症。结论:小剂量腰麻对高龄地震伤员是一种较为理想的麻醉方式,但需严格掌握适应证。
Objective:To estimate the effect of low dose spinal anesthesia on the elderly earthquake victims.Method:Fifty-five patients over the age of 75 undergoing operations lower T10 were anaesthetized with lower dosage spinal anesthesia.Preand postanesthesia respiratory rate(RR),heart rate(HR),mean arterial pressure(MAP),pulse saturation of blood oxygen(SpO2),pH,PaO2 and PaCO2 of patients were recorded and analyzed.Result:The effect of low dose spinal anesthesia were satisfied.MAP decreased after anesthesia(P<0.05) while there were no significant differences in RR,HR,SpO2,pH,PaO2 and PaCO2 (P>0.05).Conclusion: Low dose spinal anesthesia is ideal for elderly earthquake victim,but the indications should be paid attention to.

引文

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