摘要
目的 :减少病人对纤维支气管镜检查治疗的恐惧、痛苦及精神创伤。方法 :应用麻醉时间短、迅速清醒的得普利麻 (Diprivan) ,门诊行纤维支气管镜检查及治疗。观察病人检查前、检查中 (给药后 )及完全清醒后的血压、脉搏、呼吸、血氧饱和度 ,记录给药至完全清醒的时间及清醒后离开检查室的时间。结果 :30例受检查病人血压呈下降趋势 ,心率由检查前的增快可下降至检查前心电图水平 ,无任何不适应感觉 ,无痛苦及精神创伤 ,完全清醒后平均 10min离开检查室。结论 :对一些精神紧张、血氧分压低、高血压及老年病人 ,门诊全麻纤维支气管镜检查相对比较安全、无痛苦。尤其需反复纤维支气管镜治疗的病人是一种很好的方法。
Objective: To reduce the dread, suffering and mental injury caused by fibrobronchoscopy. Methods: Proceed general anesthesia by. the usage of diprivan before the fibrobronchoscopy exam and observe the blood pressure, pulse, breath, SaO 2 before, during and after the procedure. Results: The blood pressure is downtrend, heart rate is also declined and with no suffering and mental injury. Conclusion: General anesthesia for the outpatients during the fibrobronchoscopy exam is a safe method especially for the mental tension, low SaO 2, high blood pressue and elder patients.
出处
《中国内镜杂志》
CSCD
2002年第12期46-47,57,共3页
China Journal of Endoscopy
