高血压脑出血开颅血肿清除术的麻醉分析

发布时间：2018-07-04 12:46

  本文选题：高血压 + 脑出血　； 参考：《中西医结合心血管病电子杂志》2016年20期

【摘要】：目的探讨高血压脑出血开颅血肿清除术的麻醉分析。方法选取我院接受开颅血肿清除术治疗的高血压脑出血患者60例作为研究对象,观察其麻醉效果。结果全部患者均于诱导插管同时静脉滴注硝酸甘油,血压上升20~40 mm Hg32例,60 mm Hg以上8例。结论高血压脑出血患者血肿清除术麻醉风险较高,要求医生快速了解病情,评估患者循环和呼吸系统情况,通过气管插管+静吸复合麻醉维持循环呼吸稳定,确保手术正常进行。
[Abstract]:Objective to investigate the anesthetic analysis of craniotomy for hypertensive intracerebral hemorrhage. Methods Sixty patients with hypertensive intracerebral hemorrhage treated by craniotomy and hematoma clearance were selected as the study object and the anesthetic effect was observed. Results all the patients were treated with intravenous infusion of nitroglycerin at the same time of induction and intubation. The blood pressure was increased by 20 ~ 40mm Hg in 32 cases and above 60 mm Hg in 8 cases. Conclusion Hematoma clearance in patients with hypertensive intracerebral hemorrhage has a high anesthetic risk. It requires doctors to understand the condition quickly, to evaluate the circulation and respiratory system of the patients, and to maintain the circulatory and respiratory stability through tracheal intubation combined with anesthesia. Make sure the operation is performed properly.
【作者单位】： 黑龙江省嫩江县人民医院;
【分类号】：R614
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本文编号：2096126