急腹症合并感染性休克患者的麻醉处理

Anesthesia treatment of patients with acute abdomen complicated with septic shock

目的回顾性调查15例急腹症合并感染性休克患者的麻醉处理方法,并总结分析。方法术前建立静脉通道,检测生理指标,全麻诱导,气管插管;术中维持麻醉,调节体内酸碱平衡及纠正电解质紊乱并同步进行抗感染抗休克治疗。结果 15例患者中有12例好转,2例因高龄术后死亡,1例患者因多器官功能衰竭死亡。结论急腹症合并感染性休克的麻醉处理方法主要药物及麻醉方法的选择,关键是术中管理和维持内环境稳定和脏器功能,从而避免脏器损伤。

OBJECTIVE To retrospectively analyze the anesthetic treatment of 15 patients with acute abdomen combined with septic shock and sum up the experience. METHODS We established the intravenous access preoperatively and implemented a series of measures such as comprehensively detection of physiological indicators, induction of general anesthesia, endotracheal intubation, surgery to maintain anesthesia, regulation of acid-base balance, correction of electrolyte disorders and simultaneously anti-infective anti-shock treatment. RESULTS Of 15 patients, 12 cases had significantly improved, 2 cases died due to the old age after operation,and 1 case died with the multiple organ dysfunction. CONCLUSION Anesthetic treatment of acute abdomen combined with septic shock is the choice of drugs and anesthesia, especially the intraoperative management and maintenance of homeostasis and organ function, thereby avoiding the organ injury.