应用丙泊酚镇静致呼吸心搏骤停2例反思  

Respiratory and cardiac arrest induced by propofol sedation:report of 2 cases

作　　者：张文忠[1] 胡瑞敏[1] 朱庆华[2] 苗永利[1] 苏伟 ZHANG Wenzhong;HU Ruimin;ZHU Qinghua

机构地区：[1]邯郸市第一医院急诊内科,河北邯郸056002 [2]邯郸市第一医院功能科,河北邯郸056002

出　　处：《临床急诊杂志》2020年第7期584-586,共3页Journal of Clinical Emergency

基　　金：河北省医学科学研究重点课题计划项目(No:20160026)。

摘　　要：丙泊酚是临床常用的一种短效静脉麻醉药物,因其具有起效快、作用时间短、撤药后苏醒迅速、术后恶心呕吐发生率低等优点,目前在临床上除广泛用于麻醉诱导和维持、ICU危重患者镇静外,也越来越多的用于磁共振检查、门诊无痛胃肠镜操作等的镇静,在应用丙泊酚时,特别是在上述后一种情况下,如何做到规范使用以确保医疗安全,值得警惕和研究。Propofol is an intravenous anesthetic with the advantages of rapid onset, short action time and rapid awakening. It is widely used for sedation in clinical practice such as induction and maintenance of anesthesia, sedation in ICU, magnetic resonance examination, painless gastrointestinal endoscopy and so on. However, propofol has a certain inhibitory effect on respiration and circulation, and can cause side effects such as hypotension, apnea and cardiac arrest. Now two cases of respiratory and cardiac arrest after propofol sedation in our hospital are reported as follows.

关 键 词：丙泊酚 镇静 呼吸心搏骤停 

分 类 号：R459.7[医药卫生—急诊医学]