本文關(guān)鍵詞：建立臨床麻醉信息系統(tǒng)的創(chuàng)新實(shí)踐與現(xiàn)實(shí)意義，由筆耕文化傳播整理發(fā)布。

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clinical anaesthesia

     Innovative practice and practical meaning of establishing clinical anaesthesia information system

     建立臨床麻醉信息系統(tǒng)的創(chuàng)新實(shí)踐與現(xiàn)實(shí)意義

短句來(lái)源

     Anaesthesia information management can be realized during operation by establishing clinical anaesthesia information system,which can improve the quality and the management lever of relative work of anaesthesia and the data integrity of hospital information system.

     建立臨床麻醉信息系統(tǒng),可以實(shí)現(xiàn)手術(shù)麻醉過(guò)程的信息化管理,提高手術(shù)麻醉相關(guān)業(yè)務(wù)的質(zhì)量和管理水平,提高醫(yī)院信息系統(tǒng)數(shù)據(jù)的完整性。

短句來(lái)源

     SETTING and PARTICIPANTS:Study was conducted in the Department of Clinical Anaesthesia of Brain Hospital of Nanjing Medical University.

     地點(diǎn)和對(duì)象:研究地點(diǎn)為南京醫(yī)科大學(xué)腦科醫(yī)院臨床麻醉研究室,對(duì)象為1999/2001年南京腦科醫(yī)院收治的高血壓腦出血手術(shù)患者。

短句來(lái)源

     The text introduces the composition and functions of clinical anaesthesia information system,describes the process of establishing clinical anaesthesia information system and put forward the meaning of the clinical anaesthesia information system.

     本文介紹了臨床麻醉信息系統(tǒng)的組成和功能,主要描述了臨床麻醉信息系統(tǒng)在解放軍第251醫(yī)院成功建設(shè)實(shí)施的情況及其現(xiàn)實(shí)意義。

短句來(lái)源

     Objective: We observed the changes of BP and HR during induction of general anesthesia with thiopental ,propofol and etomidate and tracheal intubation and searched the relationships between BP and ET , NO in order to provide bases theoretically for maintaining cardiovascular stability in clinical anaesthesia.

     目的:本研究通過(guò)觀察硫噴妥鈉、異丙酚、依托咪酯全麻誘導(dǎo)及氣管插管期間血壓、脈搏的變化,進(jìn)而探討與內(nèi)皮素、一氧化氮變化的相關(guān)性,為臨床麻醉維護(hù)循環(huán)的穩(wěn)定提供理論依據(jù)。

短句來(lái)源

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     The vein general anaesthesia new concept put forwardto change the fulfillment of clinical anaesthesia consumedly,there are already 60% surgical operations in flourishingnation can complete in the out-patient service, this should beattributed to the emergence of the new generation veinanaesthesia medicine first, making the target that we pursuefor several years become reality gradually.

     靜脈全身麻醉新概念的提出大大地改變了臨床麻醉的實(shí)踐,發(fā)達(dá)國(guó)家已有60%的手術(shù)可在門(mén)診完成,這首先應(yīng)歸功于新一代靜脈麻醉藥的出現(xiàn),使我們多年追求的目標(biāo)逐漸成為現(xiàn)實(shí)。

短句來(lái)源

     Objective To observe the clinical anaesthesia in patients who undergo orthotopic liver transplantion without extracorporeal veno-venous bypass.

     目的　探討非體外靜脈 靜脈轉(zhuǎn)流下原位肝移植術(shù)的麻醉處理。

短句來(lái)源

     THE USE OF ATRACURIUM IN CLINICAL ANAESTHESIA

     卡肌寧在臨床麻醉中的初步應(yīng)用

短句來(lái)源

     The Model of Anaesthesia and Clinical Decision-making

     麻醉方式的臨床決策

短句來(lái)源

     Results of clinical

     試驗(yàn)結(jié)果表明EDM的臨床總有效率高達(dá)94.3％，

短句來(lái)源

     Clinical work;

     在臨床醫(yī)療方面 ,療效顯著 ,深受病者的歡迎 ;

短句來(lái)源

     Anaesthesia Monitoring

     麻醉監(jiān)護(hù)

短句來(lái)源

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  clinical anaesthesia

Evidence is presented that for the determination of MAC a precise nociceptive threshold is preferable to the so-called supramaximal stimulus used in clinical anaesthesia and in determinations of anaesthetic potency.

This development has further boosted the efforts and interest of researchers in the automation of clinical Anaesthesia.

Pre-emptive analgesia is advantageous in out-patient surgery as well as for routine clinical anaesthesia, and has proved effective in the prevention of phantom limb pain.

Pain prophylaxis is an everyday experience in clinical anaesthesia.

The specific issue addressed in the Refresher Course was the potential value of various monitors in detecting hypoxaemia during clinical anaesthesia.

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Objective To observe the clinical anaesthesia in patients who undergo orthotopic liver transplantion without extracorporeal veno-venous bypass.Methods All the patients were given general anaesthesia via venis and gas.During operations hemodynamics,respiratory function,blood gas,biochemistry,urine volume,bleeding volume were observed.According to the different steps of orthotopic liver transplantion,corresponding measures were taken.Results (1)Thirteen patients had undergone orthotopic liver transplantion...

Objective To observe the clinical anaesthesia in patients who undergo orthotopic liver transplantion without extracorporeal veno-venous bypass.Methods All the patients were given general anaesthesia via venis and gas.During operations hemodynamics,respiratory function,blood gas,biochemistry,urine volume,bleeding volume were observed.According to the different steps of orthotopic liver transplantion,corresponding measures were taken.Results (1)Thirteen patients had undergone orthotopic liver transplantion without extracorporeal veno-venous bypass succesfully,although they all had moderate bleeding with stable vital signs because of a rapid blood transfusion.(2)bleeding volume:(4 450±2 640)ml,urine volume:(450±256)ml,operation time:(370±110)min,time of anhepatic phase:(86±26)min.(3)compared with the blood pressure before anaesthesia it declined at the time of the blocking and opening of cava(P<0.01);CVP decreased at the time of the blocking of cava(P<0.01)and increased in 5 min afterthe opening of cava(P<0.01);heart rate increased during the anhepatic phase and neohepatic phase(P<0.01).(4)k + and TCO 2 decreased during the anhepatic phase and neohepatic phase compared with that before anaesthesia;PCV,PH and HCO 2 -1 decreased from anhepatic phase to the end of operations(P< 0.05);PCO 2 decreased during anhepatic phase and increased during neohepatic phase(P<0.05);BE decreased from neohepatic phase to the end of operations(P<0.05).Conclusion The circulation,acid-base balance and electrolure of patients who undergo orthotopic liver transplantion without extracorporeal veno-venous bypass varies greatly during perioperation,and active prophylactic treatment is the key of anaesthesia.

目的　探討非體外靜脈 靜脈轉(zhuǎn)流下原位肝移植術(shù)的麻醉處理。方法　采用氣管內(nèi)插管靜吸復(fù)合全身麻醉 ,術(shù)中監(jiān)測(cè)血流動(dòng)力學(xué)、呼吸功能、血?dú)狻⑸�、尿量及出血量等。根�?jù)原位肝移植術(shù)無(wú)肝前期、無(wú)肝期、新肝期的特點(diǎn) ,給予相應(yīng)的麻醉處理。結(jié)果　① 13例肝移植病人手術(shù)均成功完成 ,手術(shù)較一般手術(shù)出血多 ,快速輸血 ,給予多巴胺和腎上腺素維持血壓 ,術(shù)中呼吸、循環(huán)維持滿(mǎn)意 ;②術(shù)中出血 (44 5 0± 2 6 40 )ml,尿量 (45 0± 2 5 6 )ml,手術(shù)時(shí)間 (370± 110 )min ,無(wú)肝時(shí)間 (86± 2 6 )min ;③與麻醉前相比 ,血壓在腔靜脈阻斷和開(kāi)放即刻下降 (P <0 .0 1) ;CVP在腔靜脈阻斷時(shí)降低 (P <0 .0 1) ,腔靜脈開(kāi)放后 5min內(nèi)增高 (P <0 .0 1) ,心率在無(wú)肝期和新肝期增快 (P <0 .0 1) ;④與麻醉前比較 ,無(wú)肝期和新肝期K+ 濃度和TCO2 下降 (P <0 .0 5 ) ;無(wú)肝期至手術(shù)結(jié)束時(shí)紅細(xì)胞壓積、pH和HCO3 -1值均下降 (P <0 .0 5 ) ;PCO2 無(wú)肝期下降、新肝期升高 (P <0 .0 5 ) ;BE新肝期和術(shù)...

目的　探討非體外靜脈 靜脈轉(zhuǎn)流下原位肝移植術(shù)的麻醉處理。方法　采用氣管內(nèi)插管靜吸復(fù)合全身麻醉 ,術(shù)中監(jiān)測(cè)血流動(dòng)力學(xué)、呼吸功能、血?dú)狻⑸�、尿量及出血量等。根�?jù)原位肝移植術(shù)無(wú)肝前期、無(wú)肝期、新肝期的特點(diǎn) ,給予相應(yīng)的麻醉處理。結(jié)果　① 13例肝移植病人手術(shù)均成功完成 ,手術(shù)較一般手術(shù)出血多 ,快速輸血 ,給予多巴胺和腎上腺素維持血壓 ,術(shù)中呼吸、循環(huán)維持滿(mǎn)意 ;②術(shù)中出血 (44 5 0± 2 6 40 )ml,尿量 (45 0± 2 5 6 )ml,手術(shù)時(shí)間 (370± 110 )min ,無(wú)肝時(shí)間 (86± 2 6 )min ;③與麻醉前相比 ,血壓在腔靜脈阻斷和開(kāi)放即刻下降 (P <0 .0 1) ;CVP在腔靜脈阻斷時(shí)降低 (P <0 .0 1) ,腔靜脈開(kāi)放后 5min內(nèi)增高 (P <0 .0 1) ,心率在無(wú)肝期和新肝期增快 (P <0 .0 1) ;④與麻醉前比較 ,無(wú)肝期和新肝期K+ 濃度和TCO2 下降 (P <0 .0 5 ) ;無(wú)肝期至手術(shù)結(jié)束時(shí)紅細(xì)胞壓積、pH和HCO3 -1值均下降 (P <0 .0 5 ) ;PCO2 無(wú)肝期下降、新肝期升高 (P <0 .0 5 ) ;BE新肝期和術(shù)畢均下降 (P <0 .0 5 )。結(jié)論　非體外靜脈 靜脈轉(zhuǎn)流下病人原位肝移植圍術(shù)期循環(huán)、酸堿平衡及電解質(zhì)變化劇烈 ,積極預(yù)防性對(duì)癥治療是麻醉管理的關(guān)鍵。

BACKGROUND:In the treatment of hypertensive cerebral haemorrhage, many approaches are clinically applied to improve hypoxia at present.Whether the application of oxygenised liquid during surgery had protective effects on neurocyte in the patients with hypertensive cerebral haemorrhage?OBJECTIVE:To investigate the impact and brain protective effect of the application of oxygenised liquid during the surgery of hypertensive cerebral haemorrhage on the myelm basic protein(MBP). DESIGN:A randomised controlled trial.SETTING...

BACKGROUND:In the treatment of hypertensive cerebral haemorrhage, many approaches are clinically applied to improve hypoxia at present.Whether the application of oxygenised liquid during surgery had protective effects on neurocyte in the patients with hypertensive cerebral haemorrhage?OBJECTIVE:To investigate the impact and brain protective effect of the application of oxygenised liquid during the surgery of hypertensive cerebral haemorrhage on the myelm basic protein(MBP). DESIGN:A randomised controlled trial.SETTING and PARTICIPANTS:Study was conducted in the Department of Clinical Anaesthesia of Brain Hospital of Nanjing Medical University.Subjects were surgical patients with hypertensive cerebral haemorrhage admitted by Nanjing Brain Hospital from 1999 to 2001.The inclusive cases were cases with 40 mL to 60 mL of bleeding as shown in cranial CT and grade I-III of American Society of Anaesthesiologist(ASA) classification.INTERVENTIONS:Oxygenised liquid or equilibrium liquid was intravenously injected respectively into the patients of two groups during the surgery.MAIN OUTCOME MEASURES:Serous myelin basic protein(MBP) concentrations before and 12 hours after operation in the patients of two groups were observed respectively.The preoperative and postoperative(on the 7th day) Glasgow coma scale(GCS) as well as the intracranial pressure at each operative stage was observed. RESULTS:There was no difference of intracranial pressure before surgery and after induction between two groups. The intracranial pressures of oxygenised liquid group[(1.87±0.24) and(1.73±0.18) kPa]at haematoma removal and after operation respectively were significantly lower than[(2.10±0.381) and(1.92±0.22) kPa]of control group(t=2.37,P< 0.05;t=3.06,P< 0.01).Serous MBP at postoperative 12 hours in oxygenised liquid group was[(4.1±1.35) μg/L],which was significantly lower than[(2.2±1.42) μg/L] of control group(t=2.58,P< 0.05). The GCS at the 7th postoperative day in oxygenised liquid group was(13.6 ±0.88),which was significantly higher than(12.7±1.22) of control group(t=2.74,P< 0.05).CONCLUSION:The early intervention on haematoma surround tissue by early input oxygenised liquid during hypertensive cerebral haemorrhage surgery that could effectively relieve cerebral oedema and improve cerebral ischemic hypoxia to save reversibly injured neurons surrounding haematoma, is an effective intervention,which is helpful to the cerebral protection in the patients with hypertensive cerebral haemorrhage.

背景:在高血壓腦出血的治療中,目前臨床上應(yīng)用多種方式改善機(jī)體缺氧,術(shù)中應(yīng)用攜氧液是否對(duì)高血壓腦出血患者神經(jīng)細(xì)胞有保護(hù)作用?目的:研究高血壓腦出血術(shù)中應(yīng)用攜氧液對(duì)患者神經(jīng)元特異性烯醇化酶的影響及腦保護(hù)作用。設(shè)計(jì):隨機(jī)對(duì)照的實(shí)驗(yàn)研究。地點(diǎn)和對(duì)象:研究地點(diǎn)為南京醫(yī)科大學(xué)腦科醫(yī)院臨床麻醉研究室,對(duì)象為1999/2001年南京腦科醫(yī)院收治的高血壓腦出血手術(shù)患者。選擇頭顱CT示出血量40～60mL,美國(guó)麻醉協(xié)會(huì)(ASA)分級(jí)為I～I(xiàn)II級(jí),其中男26例,女14例,平均62歲。隨機(jī)分為攜氧液組和對(duì)照組。方法:兩組術(shù)中分別采用輸注攜氧液和平衡液。主要觀察指標(biāo):分別觀察兩組患者術(shù)前和術(shù)后12h的血清髓鞘堿性蛋白的濃度,術(shù)前和術(shù)后第7天的格拉斯格評(píng)分以及手術(shù)各階段的顱內(nèi)壓力。結(jié)果:兩組顱內(nèi)壓在手術(shù)前和誘導(dǎo)后無(wú)差別,在清除血腫至術(shù)畢,攜氧液組顱內(nèi)壓犤(1.87±0.24,1.73±0.18)kPa犦明顯低于對(duì)照組犤(2.10±0.38,1.92±0.22)kPa犦犤(t=2.37,P<0.05;t=3.06,P<0.01)犦;術(shù)后12h,攜氧液組血清髓鞘堿性蛋白犤(4.1±1.35)μg/L犦明顯低于對(duì)照組犤(5.2±1.42)μ...

背景:在高血壓腦出血的治療中,目前臨床上應(yīng)用多種方式改善機(jī)體缺氧,術(shù)中應(yīng)用攜氧液是否對(duì)高血壓腦出血患者神經(jīng)細(xì)胞有保護(hù)作用?目的:研究高血壓腦出血術(shù)中應(yīng)用攜氧液對(duì)患者神經(jīng)元特異性烯醇化酶的影響及腦保護(hù)作用。設(shè)計(jì):隨機(jī)對(duì)照的實(shí)驗(yàn)研究。地點(diǎn)和對(duì)象:研究地點(diǎn)為南京醫(yī)科大學(xué)腦科醫(yī)院臨床麻醉研究室,對(duì)象為1999/2001年南京腦科醫(yī)院收治的高血壓腦出血手術(shù)患者。選擇頭顱CT示出血量40～60mL,美國(guó)麻醉協(xié)會(huì)(ASA)分級(jí)為I～I(xiàn)II級(jí),其中男26例,女14例,平均62歲。隨機(jī)分為攜氧液組和對(duì)照組。方法:兩組術(shù)中分別采用輸注攜氧液和平衡液。主要觀察指標(biāo):分別觀察兩組患者術(shù)前和術(shù)后12h的血清髓鞘堿性蛋白的濃度,術(shù)前和術(shù)后第7天的格拉斯格評(píng)分以及手術(shù)各階段的顱內(nèi)壓力。結(jié)果:兩組顱內(nèi)壓在手術(shù)前和誘導(dǎo)后無(wú)差別,在清除血腫至術(shù)畢,攜氧液組顱內(nèi)壓犤(1.87±0.24,1.73±0.18)kPa犦明顯低于對(duì)照組犤(2.10±0.38,1.92±0.22)kPa犦犤(t=2.37,P<0.05;t=3.06,P<0.01)犦;術(shù)后12h,攜氧液組血清髓鞘堿性蛋白犤(4.1±1.35)μg/L犦明顯低于對(duì)照組犤(5.2±1.42)μg/L犦(t=2.58,P<0.05)。術(shù)后第7天,攜氧液組格拉斯哥評(píng)分(13.6±0.88)明顯高于對(duì)照組(12.7±1.22)(t=2.74,P<0.05)。結(jié)論:在高血壓腦出血術(shù)中早期輸入攜氧液對(duì)血腫腦

Anaesthesia information management can be realized during operation by establishing clinical anaesthesia information system,which can improve the quality and the management lever of relative work of anaesthesia and the data integrity of hospital information system.The text introduces the composition and functions of clinical anaesthesia information system,describes the process of establishing clinical anaesthesia information system and put forward the meaning of the clinical anaesthesia...

Anaesthesia information management can be realized during operation by establishing clinical anaesthesia information system,which can improve the quality and the management lever of relative work of anaesthesia and the data integrity of hospital information system.The text introduces the composition and functions of clinical anaesthesia information system,describes the process of establishing clinical anaesthesia information system and put forward the meaning of the clinical anaesthesia information system.

建立臨床麻醉信息系統(tǒng),可以實(shí)現(xiàn)手術(shù)麻醉過(guò)程的信息化管理,提高手術(shù)麻醉相關(guān)業(yè)務(wù)的質(zhì)量和管理水平,提高醫(yī)院信息系統(tǒng)數(shù)據(jù)的完整性。本文介紹了臨床麻醉信息系統(tǒng)的組成和功能,主要描述了臨床麻醉信息系統(tǒng)在解放軍第251醫(yī)院成功建設(shè)實(shí)施的情況及其現(xiàn)實(shí)意義。

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  本文關(guān)鍵詞：建立臨床麻醉信息系統(tǒng)的創(chuàng)新實(shí)踐與現(xiàn)實(shí)意義，由筆耕文化傳播整理發(fā)布。