假性颈动脉瘤手术的麻醉处理  

Anesthetic management of the patients undergoing false-carotid tumor surgery.

作　　者：刘可斌[1] 周承堂[1] 刘国胜[1] 

机构地区：[1]湖北医科大学口腔医学院,湖北武汉430079

出　　处：《口腔医学纵横》2000年第2期130-131,共2页Journal of Comprehensive Stomatology

摘　　要：目的 :探讨外伤性假性颈动脉瘤手术麻醉和脑保护的意义。方法 :4例病人全部选择气管内插管 ,实施硫喷妥钠、咪唑安定、芬太尼、异氟醚静吸复合麻醉和控制性降压 ,3例应用全身控制性低温等措施 ;围麻醉期采取全方位生理性监测和处理。结果 :4例均痊愈出院 ,术后并发 :肢体轻瘫 1例 ,延迟苏醒 1例 ,高血压 1例 ,经积极治疗均逐步恢复。结论 :假性颈动脉瘤手术神经并发症发生率较高 ,麻醉中脑保护措施在并发症防治中极其重要。Objective:To evaluate significance of brain protection on brain function in patients undergoing false-carotid tumor surgery. Methods: All patients were intubated and anesthetized with intravenous-inhalation compound anesthesia such as thiopental, midazolam, fentanyl and isoflurene. Controlled hypotension was performed during anesthesia. Brain protective measures such as hypothermia, anesthesia choose, full-monitor and treatment was taken in three patients which the main cerebral artery was obstructed temporarily. Results: All was discharged. The complication involved hemi-paralysis (one case), hypertension (one case), and brain recovery delay post-anesthesia (one case). But all well recovered without sequelae. Conclusion: The cerebral nerve complication in patients undergoing carotid tumor surgery is common. Brain protective measures is very important and it can protect the brain function from cerebral ischemia injury. [

关 键 词：假性颈动脉瘤 麻醉 低温 控制性降压 外科手术 

分 类 号：R782.054[医药卫生—口腔医学]