创伤性膈疝20例麻醉体会

Anesthesia experience of 20 cases of traumatic diaphragmatic hernia

［背景］探讨创伤性膈疝的麻醉处理．［病例报告］２０例创伤性膈疝病人麻醉均采用气管内插 管静吸复合麻醉，术中控制呼吸、监测血压、心电图、血氧饱和度、呼气末二氧化碳、尿量，同时纠正休克 和酸中毒．［讨论］采用低压低潮气量控制呼吸是围术期麻醉的关键，并应注意复合伤及休克、酸碱平 衡、电解质紊乱的处理．

BACKGROUND To discuss the anesthesia dispose of traumatic diaphragmatic hernia. CASE REPORT The anesthesia of 20 cases of traumatic diaphragmatic hernia were used the intratracheal intubation combined anesthesia. In operation, breath was commanded and blood pressure, electrocardiogram, carbon dioxide of end-expiration, amount of urine were surveillanced. At one time, shock and acidosis were corrected. DISCUSSION The controlling breath by using the hypotension and low tidal volume is the key of aneshesia of operation period, and management of complex wound, the shock, acid-base balance, electrolyte disturbance should be adverted.