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布比卡因、罗哌卡因腰-硬联合麻醉在高危老年病人骨科手术、下肢手术和泌尿科手术中的临床应用 被引量:8

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摘要 目的:布比卡因、罗哌卡因腰麻在老年病人各种手术中量效关系,安全性和可行性。方法:选择70~90岁老年病人25例ASAⅢ~Ⅳ级,采取腰-联合麻醉,术后输入液体按8~10ml/(kg·小时)输入胶体和林格液,出血量>500ml酌情输入红细胞悬液和血浆。结果:腰硬联合麻醉起效时间,短阻滞完善,术后恢复快,不良反应少。结论:只要合理用药,控制好麻醉平面,术中精心管理,腰硬联合麻醉用于老年高危病人是安全可行的。
出处 《中国社区医师(医学专业)》 2011年第33期46-46,共1页
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