术前合并症患者全身麻醉后苏醒延迟原因分析与处理  

Analysis and Countermeasures of GA-caused Delayed Recovery of the Patients with Preoperative Complication

作　　者：崔巍[1] 

机构地区：[1]赤峰学院附属医院麻醉科,内蒙古赤峰024001

出　　处：《内蒙古医学杂志》2013年第7期809-811,共3页Inner Mongolia Medical Journal

摘　　要：目的：分析全身麻醉对老年及术前存在合并症患者术后苏醒延迟的原因及对策。方法：麻醉诱导依次静脉注射咪达唑仑100--200μg／kg，丙泊酚1mg／kg，维库溴胺0．08mg／kg，舒芬太尼3μg／kg。麻醉维持：注射泵持续输注丙泊酚、瑞芬太尼，低浓度吸入异氟醚。结果：全身麻醉苏醒延迟病例16例，术前不同程度患有高血压。糖尿病及肾功不全。结论：术前应充分了解病情，选用短效麻醉药，采用静吸复合麻醉，适合于老年或重要脏器代偿功能下降患者，且术后对苏醒延迟的发生率较低。Objective：Analysis of GA- caused postoperative delayed recovery of the aged and the patients with preoperative complication and its corresponding countermeasures. Method： Anesthesia induction： intra- venously inject midazolam 100--200 μg/kg, propofol 1 mg/kg, vecuronium bromide 0.08 mg/kg, and sulf en- tanyl 3 μg/kg successively; maintenance of anesthesia： continuously inject propofol and remifentanil with electric infusion pump and inhale low - concentration isoflurane. Results： GA - caused delayed recovery occurs in 16 cases in which patients suffer from some degree of hypertension, diabetes or renal inadequacy before surgical opera- tion. Conclusion：Fully understand preoperative pathogenetic condition and adopt short - acting anaesthetic and inhalational - intravenous anesthesia, which is suitable for the aged and the patients with decreased compensation in major organs and reduces the incidence of postoperative delayed recovery.

关 键 词：合并症 全身麻醉 苏醒延迟 

分 类 号：R614.2[医药卫生—麻醉学]