摘要
心脏外伤病人多存在失血性休克，须立即手术。尽快作好麻醉准备的同时应进行胸腔闭式引流，尽快建立静脉通道或进行中心静脉穿刺，快速补液补血，以纠正呼吸紊乱和低血容量。在测不清病人血压的情况下，１０分钟内将病人血压提升到８／５ｋＰａ，此时静脉内用氯胺酮１００ｍｇ、芬太尼０．２ｍｇ、司可林１００ｍｇ行快速诱导插管。平均麻醉时间为４０分钟，效果令人满意。提示：用小剂量氯胺酮、芬太尼和司可林能成功地完成心脏外伤急诊手术，而且麻醉方法简单、安全、可靠、效果好。
Most patients with cardiotrauma developed hemorrhagic shock;emergency operation must be taken promptly.Preanesthetic preparation wasaccomplished quickly while closed thoracic drainage and rapid transfusion of blood andfluids through exposed vein or central venous puncture shoule be performed so as tocorrect respiratory disturbance and bypovolemia.When blood pressurs was elevated to8/5kPa within 10 minutes,rapid anesthesia induction and tracheal intubation werecarried out at once by giving 100mg ketamine,0.2mg fentanyl and 100mg scolineintravenously.Average anesthesia time was 40 minutes,obtaining good results.It issuggested that with low-dose of ketamine,fentanyl and scoline,the cardiotraumaticemergency operation can be completed Successfully and the anesthesia method issimple,Safe,reliable and satisfactory.
出处
《承德医学院学报》
1996年第3期197-198,共2页
Journal of Chengde Medical University
关键词
麻醉
心脏损伤
创伤
外科手术
cardiotrauma
emergency operayion
anesthetic management
