本文選題：肛腸手術(shù) + 肛心反射��； 參考：《中國藥物經(jīng)濟學(xué)》2016年11期

【摘要】：目的探討肛腸手術(shù)中肛心反射的防治,以期能夠在今后的臨床治療中有效防治肛腸手術(shù)中肛心反射的發(fā)生。方法選取2013年12月到2016年2月沈陽市肛腸醫(yī)院收治的82例行肛腸手術(shù)的患者作為研究對象,所有患者在手術(shù)過程中均給予防治肛心反射的相應(yīng)措施。結(jié)果 4例發(fā)生心臟驟停的患者經(jīng)靜脈注射腎上腺素與胸外心臟按壓后均救治成功;出現(xiàn)眩暈情況同時伴血壓下降、惡心嘔吐的26例患者經(jīng)靜脈推注阿托品1 mg與靜脈滴注麻黃素(18±12)mg后,血容量得到了有效補充,臨床癥狀明顯改善,在留院觀察4 d后均痊愈出院;18例暫停手術(shù)的患者經(jīng)靜脈滴注阿托品(0.75±0.25)mg后,臨床癥狀基本消失,而后順利完成了肛腸手術(shù);另外34例反應(yīng)不嚴重的患者經(jīng)短暫休息后均繼續(xù)完成了肛腸手術(shù)。結(jié)論為了降低肛腸手術(shù)患者肛心反射的發(fā)生率,必須要做好術(shù)前準備工作,結(jié)合患者實際病情采取最合理手術(shù)方式,在手術(shù)過程中對患者進行合理麻醉,并對患者在手術(shù)過程中出現(xiàn)的變化與并發(fā)癥等進行細致觀察與及時處理。
[Abstract]:Objective to investigate the prevention and treatment of anus and heart reflex in anorectal surgery, so as to prevent and cure anus heart reflex effectively in the future clinical treatment. Methods from December 2013 to February 2016, 82 patients undergoing anorectal surgery in Shenyang anorectal Hospital were selected as the study objects. All patients were given the corresponding measures to prevent anus reflex during the operation. Results all of the 4 patients with cardiac arrest were successfully treated by intravenous injection of epinephrine and chest cardiac compression. After intravenous injection of atropine 1 mg and ephedrine 18 鹵12)mg, the blood volume of 26 patients with nausea and vomiting was effectively supplemented, and the clinical symptoms were significantly improved. After 4 days of observation, all 18 patients with temporary operation were cured after intravenous infusion of atropine (0.75 鹵0.25)mg), the clinical symptoms were basically disappeared, and the anorectal operation was successfully completed. Another 34 patients with mild response continued to perform anorectal surgery after a short rest. Conclusion in order to reduce the incidence of anus and cardiac reflex in patients undergoing anal and intestinal surgery, we must make good preparations before operation, adopt the most reasonable operation method combined with the actual condition of the patients, and carry out rational anesthesia during the operation. The changes and complications of the patients during the operation were carefully observed and dealt with in time.
【作者單位】： 沈陽市肛腸醫(yī)院;
【分類號】：R657.1

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