地震后转伤员围手术期麻醉方法探讨

Perioperative anesthesia management of the wounded transferred from the quake-hit area

目的汶川地震后,大量伤员由灾区转运至后方医院进行治疗,通过接收地震后转伤员的紧急救治,总结医院救治地震伤员的围手术期麻醉管理经验。方法回顾分析在"5.12"汶川地震后麻醉科参与救治的地震后转伤员临床资料。结果全身麻醉20例,联合腰麻16例,臂丛麻醉4例,局部麻醉9例。所有手术治疗患者均平稳度过围手术期,无一例麻醉死亡及麻醉并发症发生。结论医院在接收地震后转伤员后,可充分应用有利医疗条件,及时完善辅助检查和术前准备,麻醉方法选择以采取个体化麻醉,减轻心理应激及减少麻醉并发症为原则。

Objective After the Wenchuan earthquake,a great number of patients were transferred from the quake-afflicted area to the hospitals in other areas.This study summarizes our experience in perioperative anesthesia management of the wounded treated in our hospital.Methods We retrospectively analyzed the clinical anesthesia data of the wounded from the Wenchuan earthquake treated in Nanjing General Hospital,and summed up the experience in perioperative anesthesia management.Results Twenty patients received general anesthesia,16 combined spinal and epidural anesthesia,4 brachial plexus block,and 9 local anesthesia.All remained stable during the perioperative period,without anesthesia-induced death or complications.Conclusion Patients transferred from the quake-hit area should be subjected to timely and adequate medical and instrumental examinations and preparation before surgery.The principles of anesthesia management include individualized anesthesia,reducing psychological stress,and avoiding anesthesia complications.