高坠复合伤休克合并顽固性低氧血症麻醉管理一例  

Anesthesia management of a case of high-altitude fall injury shock combined with refractory hypoxemia

作　　者：师小伟 解小艺 郭建荣[1] SHI Xiao-wei;XIE Xiao-yi;GUO Jian-rong(Department of Anesthesiology,Gongli Hospital of Shanghai Pudong New District,Shanghai 200135,CHINA)

机构地区：[1]上海市浦东新区公利医院麻醉科,上海200135

出　　处：《海南医学》2024年第11期1660-1662,共3页Hainan Medical Journal

摘　　要：创伤性休克患者的麻醉是临床急诊麻醉中的重点和难点,需要及时恰当处理。低氧血症是指血液中含氧不足,动脉血氧分压(PaO2)低于同龄人的正常下限,主要表现为血氧分压与血氧饱和度下降。围术期低氧血症是临床危重症之一,处理不当会导致心、脑、肾等重要器官和系统功能障碍,甚至危及生命。本文报道一例高处坠落伤休克合并顽固性低氧血症患者的麻醉处理过程,并查阅相关文献进行分析讨论,以期为临床休克伴低氧血症的麻醉管理提供参考。Anesthesia of patients with traumatic shock is a key and difficult point in clinical emergency anesthesia.Timely and appropriate handling is required.Hypoxemia refers to insufficient oxygen content in the blood,with arterial partial pressure of oxygen(PaO2)lower than the normal lower limit of peers,mainly manifested as a decrease in blood oxygen partial pressure and blood oxygen saturation.Perioperative hypoxemia is one of the critical clinical conditions.Improper management can lead to dysfunction of important organs and systems such as the heart,brain,and kidneys,and even endanger life.This article reports on the anesthesia management process of a patient with high-altitude fall injury shock combined with refractory hypoxemia,and reviews relevant literature for analysis and discussion,in order to provide reference for the anesthesia management of clinical shock combined with hypoxemia.

关 键 词：休克 低氧血症 光棒 去甲肾上腺素 

分 类 号：R614[医药卫生—麻醉学]