摘要
报道老年感染性休克病人的麻醉处理３０例，其中２４例选用持续硬膜外麻醉，５例选用气管内插管静脉复合麻醉，１例选用静脉氯胺酮麻醉，麻醉效果较为满意。术后痊愈２４例，死亡６例。讨论中重点强调了此类病人病情的危重性，并从麻醉前准备和用药，麻醉选择和麻醉维持，术中的监测和治疗，以及术后管理等几个方面介绍了对老年感染性休克病人围手术期处理的几点经验。
This article reports the management of thirty elderly patients of septic shock during anesthesia. Twenty-four of them received continious epidural anesthesia, five of them were under intravenous general anesthesia with endotracheal intubation, and one patient received intravenous ketamine anesthesia. The effects of these patients on anesthesia wer satisfactory. Twenty-four patients reconvered after operation. Six patients died. The authors stresses the high risk of anesthetic management in these patients.Experiences are introduced in per-anesthetic preparation and medication selection and maintenance of anesthesia, monitoring and treatment during anesthesia and postoperative care of septic shock of the elderly.
