置入冠状动脉支架患者腹腔镜胆囊切除麻醉的处理

Anesthesia of Laparoscopic Gallbladder Excision in Patients With Coronary Artery Stents

目的：对置入冠状动脉支架患者腹腔镜胆囊切除术的麻醉处理进行总结。方法选取2013年6月～2014年12月在我院行腹腔镜胆囊切除术的13例置入冠状动脉支架患者，分析其麻醉方法并总结手术情况。结果本组13例患者均顺利完成腹腔镜胆囊切除术，平安度过麻醉期，无中转开腹手术。麻醉中1例出现血压升高，1例出现心率加快，拔管时2例心率加快且血压升高，经对症处理均恢复正常。患者平均手术时间（53.6±16.5）min，平均麻醉时间（62.3±18.4）min，平均术后苏醒时间（23.2±3.8）min。结论在为置入冠状动脉支架患者实施腹腔镜胆囊切除术之前，应做好各项准备及评估工作，根据要求严格展开麻醉处理，为手术顺利完成提供有力保障。

Objective For laparoscopic cholecystectomy in patients with coronary artery stents anesthesia processing is summarized.MethodsChoose in June 2013 to December 2013 in our hospital of 13 cases of laparoscopic cholecystectomy in patients with coronary artery stents,analyzed the anesthesia methods and summarized the operation situation.ResultsThirteen patients were successfuly completed laparoscopic cholecystectomy,weather the anesthesia, no transfer laparotomy. 1 case appeared in blood pressure during anesthesia and 1 case of heart rate,when the tube drawing 2 cases of heart rate and blood pressure,back to normal by symptomatic treatment. Patients with the average operation time（53.6±16.5）min,the average time of anesthesia （62.3±18.4）min,the average postoperative revival time（23.2±3.8）min.Conclusion In patients with coronary stenting for placement before the implementation of laparoscopic cholecystectomy,should do a good job in the preparation and evaluation conducted strictly according to the requirement anesthesia,provide powerful guarantee for operation is completed.