摘要
目的探讨经鼻蝶窦显微镜下31例垂体瘤切除术的麻醉特点。方法31例垂体瘤病人择期手术,ASAⅠ-Ⅲ级,年龄（43.36±9.03）岁,体重（62±12.29）kg。静注咪唑安定、芬太尼、异丙酚（PRO）、琥珀胆碱,气管插管后间歇正压通气（IPPV）。微量泵输注异丙酚及酌情静注芬太尼、维库溴铵维持麻醉。结果所有病人麻醉诱导及维持效果满意。诱导期BP、HR较麻醉前下降（P〈0.01及P〈0.05）,但整个麻醉过程生命指标较平稳。苏醒时间为（24.39±7.13）min,恢复迅速,无明显不良反应。结论经鼻蝶窦垂体瘤切除术的麻醉有其独特之处。内分泌代谢亢进或低下对麻醉药的耐受性不同,力求麻醉平稳。PRO用于此类手术是理想的麻醉药物。
Objective To investigate the anaesthetic characteristics and experiences of resection of pituitary adenomas via nasal cavity and sphenoid sinus approach by microscope. Methods Thirty-one patients who got pituitary adenomas with ASA grade Ⅰ - Ⅲ, aging 43.36±9.03 years, weight 62±12.29 kg, were scheduled for selective operation. Anaesthesia was induced with midazolam, fentanyl, PRO and succinycholine, the endotracheal intubation and IPPV. Anaethesia was maintained with PRO and intermittent intravenous fentanyl, vecuronium. Results The effects of inducement and maintenance of all cases were satisfactory. BP, HR in the inducement course decreased lower than before the anaesthesia （P〈0.01 ＆ P〈0.05）. But the life index in the whole anaesthesia course was tranquilization. The revival time： 24. 39±7.13 min, the recovery was quick and there are no obvious bad effect. Conclusion Anaesthesia of pituitary adenomas resection via nasal cavity and sphenoid sinus has some particular techniques and characteristics. Patients, anaesthetic response were different because the patients got incretory metabolic disturbance. So to strive keeping patients＇ anaesthesia stable is very important. PRO used in the genus surgery is a perfect anaesthetic drug.
出处
《福建医药杂志》
CAS
2007年第1期16-18,共3页
Fujian Medical Journal
关键词
蝶窦
垂体瘤
静脉麻醉
Sphenoid sinus
Pituitary adenomas
Intravenous anaesthesia
