急诊颅脑外伤的麻醉处理  

Anesthetic management of traumatic brain injury during emergency operation

作　　者：罗红菱[1] 侯立力[1] 王白云[1] 梁娜[1] 钟焕晖[1] 

机构地区：[1]南华大学附属南华医院麻醉科,湖南衡阳421002

出　　处：《中国医药导报》2009年第36期80-81,共2页China Medical Herald

摘　　要：目的:分析57例重型脑外伤行急诊手术的麻醉处理和救治过程。方法:对57例颅脑外伤急诊手术的麻醉方法和术中救治的临床资料进行回顾性分析。结果:57例患者手术和麻醉管理均获得成功,经术后进一步积极支持治疗后75%的患者康复。结论:术前全面了解患者颅脑外伤的严重程度,做好充分的术前准备,选择减少脑氧耗量、降低脑代谢率且对循环影响轻微的药物,采用间断过度通气、联合应用有效药物满意地降低颅内压,以及围术期对患者并发症进行积极治疗,均是提高急诊颅脑外伤患者手术成功的重要因素。Objective：To investigate and discuss the anesthesia and remedy of 57 cases with severe craniocerebral trauma during emergency operation. Methods：Retrospective analysis of 57 cases with severe craniocerebral trauma who received emergency operation. Results：The anesthesia and operation was successful in all 57 cases. After post-operative supportive therapy,75% cases were cured. Conclusion：To achieve a high success rate in emergency operation on craniocerebral trauma,the key points are full understanding of the severity of craniocerebral trauma before operation,sufficient preoperative preparation,application of medication which could diminish the brain metabolic rate,cut down the brain oxygen consumption but have little effect on circulation,satisfactory reduction of encephalic pressure by efficacious medication and periodic over-ventilation and timely treatment on complications during preoperative period.

关 键 词：颅脑外伤 麻醉 急诊手术 

分 类 号：R614[医药卫生—麻醉学]