摘要
目的:评价小剂量腰麻对高龄地震伤员的麻醉效果及安全性。方法:对55例75岁以上、胸10平面以下手术的高龄地震伤员使用7.5mg布比卡因做小剂量腰麻,记录伤员麻醉前后呼吸频率(RR)、心率(HR)、平均动脉压(MAP)、血氧饱和度(SpO2)及pH、PaO2、PaCO2,术中及术后24h随访并记录麻醉并发症。结果:所有伤员麻醉效果满意,均安全接受手术。麻醉后除MAP降低(P<0.05)外,RR、HR、pH值、PaO2及PaCO2不变(P>0.05)。1例术中发生呼吸抑制,2例术后尿潴留,未发现其他麻醉意外和并发症。结论:小剂量腰麻对高龄地震伤员是一种较为理想的麻醉方式,但需严格掌握适应证。
Objective：To estimate the effect of low dose spinal anesthesia on the elderly earthquake victims.Method：Fifty-five patients over the age of 75 undergoing operations lower T10 were anaesthetized with lower dosage spinal anesthesia.Preand postanesthesia respiratory rate（RR）,heart rate（HR）,mean arterial pressure（MAP）,pulse saturation of blood oxygen（SpO2）,pH,PaO2 and PaCO2 of patients were recorded and analyzed.Result：The effect of low dose spinal anesthesia were satisfied.MAP decreased after anesthesia（P〈0.05） while there were no significant differences in RR,HR,SpO2,pH,PaO2 and PaCO2 （P〉0.05）.Conclusion： Low dose spinal anesthesia is ideal for elderly earthquake victim,but the indications should be paid attention to.
出处
《临床急诊杂志》
CAS
2011年第1期30-31,共2页
Journal of Clinical Emergency
关键词
腰麻
高龄
地震伤员
spinal anesthesia
the elder
earthquake victim
