急性梗阻性化脓性胆管炎急症手术的麻醉处理

Anesthesia for Emergency Operative with Acute Obstructive Suppurative Cholangitis

分析总结９７例急性梗阻性化脓性胆管炎急症手术的麻醉处理。本组采用静脉复合麻醉７１例，硬膜外阻滞２６例。除１例术后因大出血而死亡外，余均痊愈出院。作者认为麻醉处理的关键是循环管理，对严重循环抑制病例选用硬膜外阻滞应慎重。

Management with either intravenous combined anesthesia ( n =71) or epidural block( n =26) was summarized in 97 patients undergoing emergency operation for acute obstructive suppurative cholangitis (AOSC). All cases were discharged with full recovery, but one patient died of copious postoperative hemorrhage. It is concluded that the key to anesthetic management lies in circulatory control. Epidural block should be cautiously performed on patients with severe cardiovascular depression.