外伤性膈疝的麻醉处理34例效果观察

Traumatic diaphragmatic hernia anaesthesia processes 34 example effect observation

在外伤性膈疝的麻醉处理时,术前全面地了解病情和进行认真的评估至关重要,麻醉诱导时避免使用司可林,面罩给氧不宜加压以免增加胃压,当体位改变时心脏的压迫会进一步加重,可预防性将手术床向背侧倾斜10-15°.术中发生心跳骤停时不应做胸外按压抢救,应在倾斜体位的同时,快速开胸,迅速将疝内容物还纳腹腔,并直接行心脏挤压,一般都能很快地恢复心跳.多项目的监测是发现异常情况的先决条件,一旦发现异常要进行正确快速有效的处理.

When traumatic diaphragmatic hernia anaesthesia processing, in front of the technique understood comprehensively the condition and carries on the earnest appraisal to be very important, when anaesthesia induction avoids using Si Kelin, the face guard for the oxygen pressurizes not suitably in order to avoid increase stomach pressure, when body posture change the heart oppression can further aggravate,preventability surgery bed likes and dislikes side incline 10-15%. In the technique occurs the palpitation stops suddenly when should not make outside the chest to hold back the rescue, should during inclined body posture, operate the chest fast,also accepts rapidly the hernia contents the abdominal cavity, and the direct good heart extrusion, all can restore the palpitation very quickly generally. The multi - project monitor is the discovery unusual situation precondition, once discovered exceptionally must carry on correct fast effective processing.