肝棘球蚴病外科手术中的麻醉配合  

Anesthesia management in hepatic echinococcosis surgery

作　　者：龚智颖 张伟义[1] GONG Zhiying;ZHANG Weiyi(Department of Anesthesiology,West China Hospital,Sichuan University,Chengdu 610041,P.R.China)

机构地区：[1]四川大学华西医院麻醉手术中心,成都610041

出　　处：《中国普外基础与临床杂志》2024年第10期1181-1187,共7页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：通过综合分析现有文献,了解近年来肝棘球蚴病(又称“肝包虫病”)外科手术中麻醉配合的研究进展,包括肝棘球蚴病外科手术中麻醉配合的关键技术、实践经验及研究进展,以指导临床实践。首先,在麻醉方式的选择上,推荐全身麻醉结合硬膜外阻滞或区域神经阻滞,以提高手术安全性和患者舒适度;同时,强调术中连续监测的重要性,包括血流动力学、呼吸功能等关键指标,并引入经食管超声心动图和脑功能监测技术以优化麻醉管理;最后,推广加速康复外科理念,实施术前优化、术中保温、精细化液体管理、术后镇痛管理等措施,以促进患者快速康复;同时也指出了当前研究中存在的一些挑战和未解决的问题,如复杂病例评估、并发症预防、团队协作等,未来需进一步深入研究以优化肝棘球蚴病外科手术中麻醉配合策略。We reviewed the research progress of anesthesia management in hepatic echinococcosis surgery in recent years,including the key technologies,practical experience,and research progress of anesthesia management in hepatic echinococcosis surgery,so as to guide clinical practice.Firstly,in the selection of anesthesia,the general anesthesia combined with epidural block or regional nerve block is recommended to improve surgical safety and patients’comfort.At the same time,the importance of intraoperative continuous monitoring,including key indicators such as hemodynamics and respiratory function,is emphasized,and transesophageal echocardiography and brain function monitoring techniques are introduced to optimize anesthesia management.Finally,the concept of enhanced recovery after surgery is promoted,and measures such as preoperative optimization,intraoperative heat preservation,refined fluid management,and postoperative analgesic management are implemented to promote the rapid recovery of patients.At the same time,some challenges and unsolved problems in the current research also are pointed out,such as complex case evaluation,complications prevention,and teamwork,etc.,which need to be further studied in the future to optimize the anesthesia strategy.

关 键 词：肝棘球蚴病 肝包虫病 外科手术 麻醉管理 

分 类 号：R614[医药卫生—麻醉学]