41例急性重度颅脑创伤的麻醉处理

发布时间：2018-01-15 16:43

本文关键词：41例急性重度颅脑创伤的麻醉处理　出处：《大家健康(学术版)》2016年01期 　论文类型：期刊论文

【摘要】：目的:对急性重度颅脑损伤的患者在手术过程中的麻醉处理方法进行分析。方法:随机从2013年1月至2014年12月来该院进行急性重度颅脑损伤手术治疗的患者病历中选出41例,对其病历中的麻醉处理方法进行分析,主要包括两种麻醉方式,分别是静脉注射麻醉以及静脉注射联合吸入式麻醉。对这两种麻醉方式导致患者预后、并发症和死亡的情况进行分析。结果:经过对不同麻醉方式的效果分析可以看出,其中静脉注射麻醉方式死亡率较高,静脉注射联合吸入式麻醉方式的患者死亡率较低。但与此相反的,静脉注射麻醉导致的术后并发症最少,而静脉注射联合吸入式麻醉则最多。结论:重度颅脑损伤属于严重性损伤疾病,应该对患者的病情进行全面性的评估,选择合适的麻醉方法,并加强对于麻醉操作的管理,进一步提高患者手术和麻醉的成功率,降低患者的死亡率。
[Abstract]:Objective: to analyze the anesthetic management of patients with acute severe craniocerebral injury during operation. From January 2013 to December 2014, 41 patients with acute and severe craniocerebral injury were selected. The anaesthesia management methods in its medical records were analyzed, including two kinds of anesthetic methods: intravenous anesthesia and intravenous combined inhalation anesthesia, which led to the prognosis of the patients. Results: through the analysis of the effect of different anesthetic methods, we can see that the mortality rate of intravenous anesthesia is higher. Patients with intravenous combined inhalation anesthesia had a lower mortality rate, but in contrast, intravenous anesthesia had the least postoperative complications. Conclusion: severe craniocerebral injury is a serious injury disease, it should be comprehensive evaluation of the patient's condition, choose the appropriate anesthetic method. And strengthen the management of anesthesia operation, further improve the success rate of surgery and anesthesia, reduce the mortality of patients.
【作者单位】：重庆南桐总医院麻醉手术科;
【分类号】：R614
【正文快照】： 急性重度颅脑损伤指的是突发性的严重性颅脑损伤,但患者的硬脑膜仍然保持完整,其主要的判定标准是患者在受伤后在12 h以上的时间内陷入重度昏迷中,其意识障碍逐渐加重,并且患者的神经系统具有明显的阳性体征,主要外伤包括颅骨骨折、脑挫裂伤以及脑干损伤等。患者的病情极为复

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