全麻意识恢复前拔除气管导管技术在高血压患者中的应用  

Application of tracheal catheter extraction before consciousness recovery under general anesthesia in patients with hypertension

作　　者：刘乐义 曹辉 严俨 Liu Leyi;Cao Hui;Yan Yan(Department of Anesthesiology,Wuhu Hospital of Traditional Chinese Medicine,Wuhu 241000,China)

机构地区：[1]芜湖市中医医院麻醉科,芜湖241000

出　　处：《中华内分泌外科杂志》2023年第3期382-384,共3页Chinese Journal of Endocrine Surgery

摘　　要：全身麻醉患者术后苏醒期拔管常引发血流动力学波动,使心肌耗氧增加,易引发心肌缺氧、缺血及心血管并发症。尤其对合并高血压患者,血流动力学波动更为明显,麻醉风险性更大。气管导管拔管时机选择是影响心血管反应与相关并发症的关键因素之一。本文报道2020年5月至2021年6月芜湖市中医医院收治的行全麻手术合并高血压患者35例资料,分析全麻意识恢复前拔除气管导管技术优势。Extubation during the recovery period of general anesthesia patients often causes hemodynamic fluctuations and increases myocardial oxygen consumption,which is easy to cause myocardial hypoxia,ischemia and cardiovascular complications.Especially for patients with hypertension,hemodynamic fluctuation is more obvious,and the risk of anesthesia is greater.The timing of tracheal catheter extubation is one of the key factors affecting cardiovascular reactions and related complications.This paper reported the data of 35 patients with hypertension who underwent general anesthesia from May.2020 to Jun.2021 in Wuhu Hospital of Traditional Chinese Medicine,and analyzed the technical advantages of tracheal catheter removal before consciousness recovery under general anesthesia.

关 键 词：全麻 拔除气管 高血压 血流动力学 应激反应 

分 类 号：R614.2[医药卫生—麻醉学]