美国麻醉医师协会分级Ⅳ级患者实施膝上截肢手术的麻醉管理  

Anesthetic management for an ASA IV patient undergoing above -knec amputation

作　　者：王玥[1] 戈晓东[1] 王云[1] 岳云[1] 

机构地区：[1]首都医科大学附属北京朝阳医院麻醉科,100020

出　　处：《国际麻醉学与复苏杂志》2013年第11期1054-1056,共3页International Journal of Anesthesiology and Resuscitation

摘　　要：通过介绍1例合并多种慢性疾病的美国麻醉协会（ASA）Ⅳ级患者在区域神经阻滞下实施膝上截肢手术的麻醉过程，着重分析讨论了此例ASAⅣ级患者实施膝上截肢术时麻醉方式的选择和手术过程中的注意事项。区域神经阻滞为合并多种慢性疾病的高危患者提供了一个更为安全可靠的麻醉方法。A case of an ASA 1V patient with multiple chronic comorbidity who underwent the above-knee amputation under regional block anesthesia is described, attentions are focused on the analysis of appropriate anesthesia techniques for the patient and precautions during the process. Regional nerve block provides a much more reliable and safer method of anesthesia for the high-risk patients with a variety of eomorbidity.

关 键 词：美国麻醉医师协会分级Ⅳ级 膝上截肢 糖尿病足 区域阻滞麻醉 

分 类 号：R614[医药卫生—麻醉学]