外伤性颈胸段脊髓损伤减压手术的麻醉处理研究

发布时间：2019-06-10 02:30

【摘要】：目的探讨外伤性颈胸段脊髓损伤减压手术的麻醉处理方法及效果。方法以15例外伤性颈胸段脊髓损伤患者作为观察对象,并对其临床资料进行回顾性分析。结果治疗期间仅有1例患者出现泌尿系统感染,除去2例死亡病例,其余13例患者中,12例患者镇痛效果为优,1例患者镇痛效果为良;11例患者麻醉效果为优,2例患者麻醉效果为良;11例患者术后肌松效果为优,2例患者术后肌松效果为良。患者麻醉前、麻醉后、术中、术后收缩压、舒张压、心率及血氧饱和度未出现明显变化,差异均无统计学意义(P0.05)。结论在开展外伤性颈胸段脊髓损伤减压手术时,由于其麻醉处理存在一定特殊性,因此手术过程中及术后要对患者进行严密监护,发现问题后及时进行对症处理。
[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.
【作者单位】：辽宁省庄河市中心医院麻醉科;
【分类号】：R614

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