地震后野外条件下医疗救治围手术期麻醉管理  

Perioperative anesthesia management under field condition following Wenchuan Earthquake(China)

作　　者：杜健儿[1] 吕燕[2] 徐进[2] 朱文忠[1] 许涛[1] 侯炯[1] 

机构地区：[1]第二军医大学长海医院麻醉科,上海200433 [2]四川阿坝藏族羌族自治州茂县人民医院麻醉科,茂县513223

出　　处：《第二军医大学学报》2008年第7期744-746,共3页Academic Journal of Second Military Medical University

摘　　要：目的:总结地震后野外条件下医疗救治的围手术期麻醉管理经验。方法:回顾分析长海医院抗震救灾医疗队在野外条件下实施的89例患者麻醉临床资料,总结围手术期麻醉管理经验。结果:气管插管全麻1例,氯胺酮咪达唑仑静脉麻醉复合局部麻醉16例,硬膜外阻滞59例,臂丛神经阻滞13例。所有患者均平稳度过围手术期,无明显呼吸抑制,血流动力学稳定,未出现少尿等并发症。结论:在野外条件下实施麻醉,以保证安全、减少患者痛苦和精神创伤、减少麻醉并发症为原则,麻醉方法的选择需因人而异、合理应用。Objective： To summarize our experience on perioperative anesthesia management under field condition after Wenchuan Earthquake. Methods： The clinical anesthesia data of 89 patients managed by the earthquake relief team of Changhai Hospital after Wenchuan Earthquake were retrospectively analyzed. The experience of perioperative anesthesia management was summarized. Results： The aneshesia methods included general anesthesia （1 pateint）, ketamine anaesthesia with midazolam premedication （16 patients）, epidural anesthesia （59 patients）, and brachial plexus block （13 patients）. All patients in our group were stable during perioperative period without anesthesia complications like respiratory depression, hypotension or oliguria. Conclusion ： Under field condition, the principle of anesthesia management is to gaurantee the safety of patients, reduce physical and psychological trauma, and avoid the anesthesia complications. The anesthesia methods should be chosen according to different patients and must be properly applied.

关 键 词：地震 麻醉 围手术期处理 

分 类 号：R642[医药卫生—外科学]