摘要
目的观察局麻下行微创经皮肾取石术(mPCNL)的麻醉效果、安全性分析。方法选择100例上尿路结石病人,在局麻下行mPCNL手术。结果麻醉优良率为96%。与麻醉前比,麻醉后20min及术毕,血压波动在10～30mmHg。与麻醉前比,麻醉后20minHR无明显变化,术毕,HR加快5～20次/分。与麻醉前比,麻醉后20min及术毕患者SpO2无变化。结论局部麻醉在经皮肾镜碎石术中起效快、效果确切,特别适应用于经瘘道取石,积水较多,结石较小,手术时间短的患者。
Objective To observe the minimally invasive percutaneous local anesthesia downlink Nephrolithotomy （mPCNL） in the anesthetic effect, safety analysis. Methods 100 cases of upper urinary tract stones, in the downlink m PCNL surgery local anesthesia.was included. Results 96% of the anesthesia was excellent, compared with preanesthesia, the blood pressure of fluctuations in 10- 30mmHg of postanesthesia and postoperative in 20 min.Compared with preanesthesia, the HR of postanesthesia was no significant change.Compared with preanesthesia and postanesthesia in 20 min, HR of postoperative was increased 5-20times per min.And compared with preanesthesia, the SpO2 of postanesthesia in 20 min and postoperative was no change. Conclusion The local anesthesia was operatived effectly and quickly in minimally invasive percutaneous nephrolithotomy .Especially, It was fits patient who suffered more Hydronephrosis, little calculus and by that the syrinx fetching stone and operation time was lacked.
出处
《当代医学》
2009年第31期68-69,共2页
Contemporary Medicine
关键词
微创经皮肾镜碎石术
局麻
上尿路结石
minimally invasive percutaneous nephrolithotomy lithotripsy
local anesthesia
upper urinary tract calculi
