【摘要】：目的探討外傷性頸胸段脊髓損傷減壓手術(shù)的麻醉處理方法及效果。方法以15例外傷性頸胸段脊髓損傷患者作為觀察對象,并對其臨床資料進行回顧性分析。結(jié)果治療期間僅有1例患者出現(xiàn)泌尿系統(tǒng)感染,除去2例死亡病例,其余13例患者中,12例患者鎮(zhèn)痛效果為優(yōu),1例患者鎮(zhèn)痛效果為良;11例患者麻醉效果為優(yōu),2例患者麻醉效果為良;11例患者術(shù)后肌松效果為優(yōu),2例患者術(shù)后肌松效果為良�；颊呗樽砬啊⒙樽砗�、術(shù)中、術(shù)后收縮壓、舒張壓、心率及血氧飽和度未出現(xiàn)明顯變化,差異均無統(tǒng)計學(xué)意義(P0.05)。結(jié)論在開展外傷性頸胸段脊髓損傷減壓手術(shù)時,由于其麻醉處理存在一定特殊性,因此手術(shù)過程中及術(shù)后要對患者進行嚴(yán)密監(jiān)護,發(fā)現(xiàn)問題后及時進行對癥處理。
[Abstract]:Objective to investigate the anesthetic management and effect of decompression surgery for traumatic cervicothoracic spinal cord injury. Methods 15 patients with traumatic cervicothoracic spinal cord injury were observed and their clinical data were analyzed retrospectively. the clinical data of 15 patients with traumatic cervicothoracic spinal cord injury were analyzed retrospectively. Results during the treatment period, only 1 patient had urinary system infection. Except for 2 dead cases, 12 of the other 13 patients had excellent analgesic effect and 1 patient had good analgesic effect. The anesthetic effect was excellent in 11 patients, good in 2 patients, good in 11 patients and good in 2 patients. There were no significant changes in systolic blood pressure, diastolic blood pressure, heart rate and blood oxygen saturation before anesthesia, after anesthesia, during and after operation (P 0.05). Conclusion in the decompression operation of traumatic cervicothoracic spinal cord injury, because of the particularity of anesthetic management, the patients should be closely monitored during and after the operation, and the symptomatic treatment should be carried out in time after the discovery of the problems.
【作者單位】： 遼寧省莊河市中心醫(yī)院麻醉科;
【分類號】：R614

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1 冼慶林;歐陽亞濤;韋拳堂;;頸胸段脊髓損傷康復(fù)期患者肺功能評價[J];中國康復(fù)醫(yī)學(xué)雜志;2007年08期

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