高位硬膜外麻醉在微型腹腔镜甲状腺切除术中的临床研究  

Clinical study of micro-laparoscopic thyroidectomy under high epid ural anesthesia

作　　者：张兴[1] 李锋[1] 陈凤坤[1] 黄华[1] 张福维[1] 范海鸥[1] 谭宗群[1] 

机构地区：[1]广西钦州市第一人民医院,钦州市535000

出　　处：《微创医学》2007年第5期390-391,共2页Journal of Minimally Invasive Medicine

摘　　要：目的探讨高位硬膜外麻醉在微型腹腔镜甲状腺切除术中的可行性。方法选择20例微型腹腔镜甲状腺切除术患者以C7～T为穿刺点行高位硬膜外麻醉。结果20例均获得满意效果，微型腹腔镜甲状腺切除术顺利完成，平均局麻药用量22mL，术中无一例中转为全麻，术后恢复迅速，无咽痫、声嘶、痰多、呕吐、嗜睡等不良反应。结论高位硬膜外麻醉下微型腹腔镜甲状腺切除术是安全可行的。Objective To discuss the feasibility of micro laparoscopic thyroidectomy under high epidural anesthesia. Methods Twenty patients undergoing micro laparoscopic thyroidectomy received high epidural anesthesia with C7-T1 as puncture points, Results Thyroidectomy was successful in all of 20 cases. The average partial anesthetic dose was 15ml. No case need open surgery. After surgery ,patients revived from anesthesia quickly,and no side effects such as deglutition pain, husky voice, phlegmy increase, emesia or lethargy occurred. Conclusion Thyroidectomy with micro-laparo-scope under high epidural anesthesia is safe and feasible.

关 键 词：高位 硬膜外麻醉 微型腹腔镜 甲状腺切除术 

分 类 号：R614[医药卫生—麻醉学]