脐孔腔镜阑尾切除术的麻醉要点及术中配合  

Anesthesia for Peritoneoscopic Appendectomy through the Umbilicus

作　　者：周家镇[1] 岳济民[1] 袁卫国[1] 

机构地区：[1]川北医学院附属南充市中心医院,637000

出　　处：《医药世界》2006年第6期94-95,共2页Medicine World

摘　　要：目的探索脐孔腔镜阑尾切除术的顺利完成之麻醉保障。方法气管插管,全麻,左髋置“托”,膝上压带,右腰垫高15°,头低脚高15°,左侧卧位45°,腹肌松驰下施行手术。结果403例脐孔腔镜阑尾切除术顺利完成。结论气管插管,腹肌松驰的全麻是完成脐孔腔镜阑尾切除术的保障。Objective To investigate the proper conditions for anesthesia during the peritoneoscopic appendectomy through the umbilicus. Methods General anesthesia was performed after the tracheal intubation. During the performance of the anesthesia, the patient was lying in the left recumbent position, with the left hip padded, the knee pressed with the belt, the right waist padded up 15° , and the head lower with the feet 15° higher. The patient＇ s abdominal muscles were made to be relaxed. Results Under the above conditions satisfied for general anesthesia, the peritoneoscopic appendectomy through the umbilicus was successfully performed on 403 patients. Conclusions Tracheal intubation and abdominal muscle relaxation are necessary conditions for a successful general anesthesia during the peritoneoscopic appendectomy through the umbilicus.

关 键 词：脐孔腔镜阑尾切除术 麻醉 

分 类 号：R574.61[医药卫生—消化系统]