口腔颌面外科手术全麻后苏醒延迟的临床分析

Clinical analysis of delayed recovery after general anesthesia in oral and maxillofacial surgery.

目的 :探讨全麻术后苏醒延迟的原因及临床处理方法。方法 :对本院 1996— 1998年 11例口腔颌面外科手术全麻后苏醒延迟的原因及临床处理进行了回顾性分析。结果 :苏醒延迟的原因主要有低氧、药物过量、脑外伤及严重电解质紊乱等。临床处理以维持呼吸道通畅、血流动力学稳定为原则 ,必要时采用脑保护措施 ,适当应用催醒药。结论 :避免苏醒延迟重在预防。对苏醒延迟患者要正确分析原因 ,对症处理。

Objective: To study the reasons and clinical treatments of delayed recovery after general anesthesia. Methods: The reasons and treatments of 11 patients with delayed recovery after general anesthesia in oral and maxillofacial surgery was respectively analysed from 1996 to 1998. Results: The major reasons of delayed recovery were hypoxia, drug overdosage ,brains injury and severe unbalance of electrolyte. Remaintaining a patent airray and stabilizing hemodynamics are principal treatments, and brain protection measures and analeptics was used, if needed. Conclusion: Prevention of delayed recovery is very important.The complication should be correctly assessed and immediately treated if it occures.