摘要
目的 :总结分析正颌外科病人的麻醉处理方式。方法 :4 8例病人全部选择经鼻气管内插管 ,实施异丙酚、咪唑安定、氟芬合剂、安氟醚静吸复合麻醉。结果 :8例在慢诱导 (5例清醒 )状态下完成气管内插管 ,4 0例在快诱导下完成气管插管 ,1例病人在诱导期出现频发室早 ,经用利多卡因 10 0mg静脉推注后好转 ,1例病人因失血过多而发生严重低血压 ,所有病人均痊愈出院。结论 :提出术前准备要充分 ,保留自主呼吸下慢诱导插管为好。麻醉中加强监测 ,保持呼吸道通畅 ,部分病人行控制性降压 。
Objective:To explore the anesthetic administration of p at ients during the orthognation surgery operations.Methods:F orty-eight cases of patients were selected for nasotracheal intubation and intra venous-inhalation balanced anesthesia with propoful midazolam innover enflurone. Results:The endotracheal intubation of eight cases were su cceeded under the slowly induced state.five cases of which under the conscious s tate,and that of forty cases was succeeded under the rapidly-inducde state.one p aticent presented frequent premature ventricular complexes during the stage of i nduction,which disappeared after lidocaine(100mg) was intravenously pushed.anoth er paticent presented severe hypotension due to quantity of blood loss.Conclusions:The prerogative preparation should be adequately perfor med,and the enlotracteal intubation should be recommended under the slowly-indu ced and auto-breathed state.inaddition monitoring is necessary during the anesth esia.
出处
《口腔医学研究》
CAS
CSCD
2003年第5期406-407,共2页
Journal of Oral Science Research
