肛肠手术中肛心反射的防治分析

发布时间：2018-06-17 11:24

本文选题：肛肠手术 + 肛心反射　；参考：《中国药物经济学》2016年11期

【摘要】：目的探讨肛肠手术中肛心反射的防治,以期能够在今后的临床治疗中有效防治肛肠手术中肛心反射的发生。方法选取2013年12月到2016年2月沈阳市肛肠医院收治的82例行肛肠手术的患者作为研究对象,所有患者在手术过程中均给予防治肛心反射的相应措施。结果 4例发生心脏骤停的患者经静脉注射肾上腺素与胸外心脏按压后均救治成功;出现眩晕情况同时伴血压下降、恶心呕吐的26例患者经静脉推注阿托品1 mg与静脉滴注麻黄素(18±12)mg后,血容量得到了有效补充,临床症状明显改善,在留院观察4 d后均痊愈出院;18例暂停手术的患者经静脉滴注阿托品(0.75±0.25)mg后,临床症状基本消失,而后顺利完成了肛肠手术;另外34例反应不严重的患者经短暂休息后均继续完成了肛肠手术。结论为了降低肛肠手术患者肛心反射的发生率,必须要做好术前准备工作,结合患者实际病情采取最合理手术方式,在手术过程中对患者进行合理麻醉,并对患者在手术过程中出现的变化与并发症等进行细致观察与及时处理。
[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 卤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 卤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.
【作者单位】：沈阳市肛肠医院;
【分类号】：R657.1

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