气管内全麻联合控制性降压在颅内动脉瘤介入手术中的应用  

Application of endotracheal anesthesia combined with controlled hypotension in intracranial aneurysm embolization

作　　者：肖敬波[1] 方军[1] 王胜斌[1] 

机构地区：[1]安徽省安庆市立医院麻醉科,安庆246003

出　　处：《临床医学》2009年第10期26-27,共2页Clinical Medicine

摘　　要：目的探讨气管内全麻联合控制性降压经DSA行颅内动脉瘤栓塞术的麻醉效果。方法30例经DSA行颅内动脉瘤栓塞术麻醉的患者全部采用全凭静脉复合气管内全麻,术中以微量泵持续泵注丙泊酚、瑞芬太尼、维库溴铵维持麻醉,采用控制性降压等方法处理。结果30例患者麻醉诱导,术中麻醉维持平稳、控制性降压恰当。术中手术过程顺利,术后随访无麻醉及相关并发症。结论采用微量泵持续泵注丙泊酚、瑞芬太尼、维库溴铵维持麻醉并联合控制性降压用于颅内动脉瘤栓塞术麻醉是一种安全、有效的麻醉方法。Objective To explore the effect of anesthesia undergoing GDC embolization operation for intraeranial aneurysms through DSA by endotraeheal anesthesia combined with controlled hypotension. Methods Thirty patients were undergoing GDC embolization operation for intraeranial aneurysms through DSA . They were anesthetized by fastvein induction and endotraeheal intubation. During the operation , the patients received continuous intravenous injection of propofol , remifentanil and vecuronium by micropump. The patients were offered deliberate hypotension and other methods in the operation. Results The induction and maintenance of anesthesia were presented steadily during the perioperative period . Successfully during the course of surgery, post- operative follow - up of non - narcotic and related complications. Conclusion The anesthesia for intracranial aneurysm embolization is safe, effective with continuous intravenous injection of propofol ,remifentanil and vecuronium by micropump.

关 键 词：全麻 气管插管 颅内动脉瘤 控制性降压 

分 类 号：R614[医药卫生—麻醉学] R739.41[医药卫生—外科学]