摘要
目的 :探讨过度肥胖患者腹腔镜胆囊切除术 (LC)术中、围术期的麻醉处理。方法 :过度肥胖患者 85例在静吸复合全麻下行LC术 ,监测心电图、血氧饱和度、血压、分钟通气量 ,术后随访。结果 :患者均麻醉满意 ,无术中知晓及麻醉意外。结论 :(1)肥胖患者应重视术前访视 ,了解气管插管的难度 ;(2 )术中掌握麻醉深度 (1 3～ 1 5MAC) ,适当减少肌松药的用量 ;(3)正确掌握催醒时机 。
Objective:To investigate the general anesthesia in laparoscopic cholecystectomy(LC) for adiposity patients.Methods:85 adiposity patients undergoing elective LC under intravenous-inhalation general anesthesia were monitored ECG, SaO 2, BP et al. Postoperative anesthetic complications including nausea,vomtting, delayed analepsia and so on.Results: The anaesthesia effect of all patients was satisfied, without anesthetic accident and awareness during anaesthesia.Conclusions:Preanesthetic evaluation, preanesthetic round and postoperative period should be emphasized for obesity. Under appropriate depth (1 3～1 5 MAC) of anesthesia, anesthetic unit dose of nondepolarizing muscle relaxent was reduced obviously. Meanwhile, operators should master right opportunities of analepsia to reduce anesthetic complications.
出处
《腹腔镜外科杂志》
2002年第2期92-93,共2页
Journal of Laparoscopic Surgery
