全麻联合硬膜外麻醉用于胃代膀胱术的临床观察

Effect of general anesthesia combined with epidural anesthesia on gastrocystoplasty.

目的总结胃代膀胱手术的麻醉选择和围手术期处理经验。方法回顾总结分析20例在全麻联合持续硬膜外阻滞麻醉下行胃代膀胱手术的围手术期处理、血液动力学、麻醉和手术恢复情况。结果采用全麻联合持续硬膜外阻滞麻醉,围手术期生命体征平稳,麻醉恢复快,术后并发症少,住院时间短;患者体温进行性下降,7例(35%)患者鼻咽温度<34℃,病死率5%(1/20)。结论全麻联合持续硬膜外阻滞麻醉是胃代膀胱手术的理想麻醉方法,值得推广应用。

Objective To summarize the experiences of the anesthesia selection and the treatments during the perioperative period for gastrocystoplasty.Methods The treatments,hemodynamics,recovery states from the anesthesia and operations of the 20 cases suffering the gastrocystoplasty under the condition of general anesthesia combined with continuous epidural anesthesia were analyzed and summarized retrospectively.Results This group of patients underwent gastrocystoplasty under the condition of general anesthesia combined with continuous epidural anesthesia.Their perioperative vital signs were stable,and they recovered from the anesthesia rapidly with fewer postoperative complications and shorter hospitalization time.These patients were with progressive decline in body temperature during the operations,and 7 cases（35%） were with nasopharyngeal temperatures less than 34℃.The mortality was 5%（1 case in 20 cases）.Conclusion General anesthesia combined with epidural anesthesia during gastrocystoplasty is a very effective anesthetic methods,and it is worthful to be popularized.