摘要
本文报道了全凭异丙酚麻醉配合肌肉松驰剂用于支撑喉镜声带手术３４例。麻醉采用异丙酚２．０ｍｓ／ｋｓ静脉诱导；气管插管后，在支撑喉镜暴露手术开始时，单次补充异丙酚４０～６０ｍｇ，并持续点滴０．１％琥珀酰胆碱。结果：（１）异丙酚麻醉后。ＳＢＰ、ＤＢＰ及ＲＰＰ均降低（Ｐ＜０．０１），气管插管后又升高（变化幅度±２０％）。心率与心电图无明显变化；（２）呼吸抑制较明显，呼吸暂停发生率４４．１２％。但术毕恢复迅速，便于尽早拔出气管导管；（３）麻醉诱导迅速．效果可靠．术中无记忆，苏醒完全。结论：异丙酚麻醉适用于支撑喉镜声带手术，以及其它短小手术和一些短时间的痛苦性检查与治疗。
The anesthesia was carried out with venous induction of propofol (2. 0 mg/kg). After tracheal intubation at the beginning of self-retaining laryngoscopic vocal cord surgery 40 mg to 60 mg propofol was given with the contenous venous drip of succinylcholine. The results.showed that SBP, DBP and RPP were decreased (P < 0. 01) after propofol anesthesia, but they increased after tracheal intubation (changing degree was ±20%), and the heart rate and electrocardiogram did not change much. There was breath inhibition appeared and the rate of breath stop was 44. 12%.But the breath recovered quickly and the tracheal duct could be extraclted earlier. The anesthesia induction was quick and its effect was reliable. The patients could be awake fully after anesthesia. As a result, propofol anesthesia could be well applied to the self-retaining laryngoscopic surgery,other minor surgery and many short time painful examination and treatment.
出处
《中国冶金工业医学杂志》
1996年第3期140-142,共3页
Chinese Medical Journal of Metallurgical industry
关键词
异丙酚
静脉麻醉
声带手术
Propofolp
Venous anesthesia
Vocal cord surgery
