巨大盆腹腔肿瘤切除术的麻醉管理(附86例病例分析)  

Anesthesia management of operation on huge abdomenal and pelvic tumor (the anglysis of 86 cases)

作　　者：杨萍[1] 杨文芳[1] 孙莉[1] 刘雄华[1] 

机构地区：[1]中国医学科学院肿瘤医院麻醉科,邮政编码100021

出　　处：《北京医学》1999年第5期279-281,共3页Beijing Medical Journal

摘　　要：目的分析总结86例妇科巨大盆腹腔肿瘤患者的麻醉管理，显示患者并发症。呼吸及循环方面发生的一系列病理生理变化。方法采用持续硬膜外麻醉40例，用药为地卡因十利多卡因。采用全身吸人麻醉46例，用药为硫贲妥钠或异丙酚十琥珀胆碱或卡肌宁快速诱导气管内插管，吸入氨氟醚加潘可罗宁或卡肌宁维持麻醉。结果硬膜外麻醉组血压和心率波动发生率显著高于全麻醉组。结论麻醉方法以全麻为宜，术中应预防误吸，仰卧位低血压综合征等，加强呼吸和循环管理，重点防止因腹压骤降所弓愧的循环波动。This report analysed and summarized the experiences of anesthesia management of resection on huge abdomenal and pelvic tumor in 86 cases in gynecology. These patients suffered from various complications, and their respiratory and circulatory systems have been damaged indefferent degrees. To improve the toleration for anesthesia, the preoperative preparation must be done carefully. Compared with the incidence of fluctuation of blood pressure and heart rate, theepidural anesthesia group is obviously higher than that of the general anesthesia, this showed thatgeneral anesthesia should be the first choice. During opeartion, monitoring are managing for the function of respiratory and circulatory is very important. Speical attention should be paid to prevention of inspiratory regurgitation, supine hopotension syndrome, and cyclic fluctuationcaused by sudden reduced abdomenal pressure.

关 键 词：巨大盆腹腔肿瘤 麻醉管理 腹腔肿瘤 外科手术 

分 类 号：R730.56[医药卫生—肿瘤]