颅脑外伤手术麻醉处理的临床体会

Deal with the clinical experience of craniocerebral trauma surgery anesthesia

目的:对颅脑外伤手术麻醉的处理方法及经验进行总结。方法:2013年10月到2014年10月共接收了74例颅脑外伤患者,其中有30例女性患者,44例男性患者,他们的平均年龄为55岁。患病类型:34例属于硬膜外血肿,25例属于颅内血肿,11例属于硬膜下血肿,还有4例属于其他类型。所有患者采用的麻醉方式都为气管插管全身麻醉方式。结果:对74例患者采取的麻醉效果都比较满意,在手术完成后仍然有意识障碍的共3例患者,行气管切开或者对气管插管进行保留。而另外71例患者的麻醉诱导过程没有什么波动,相对比较平稳,手术完成后能够较快达到苏醒的状态。这组手术后因为并发症比较厉害的有11例,在手术完成后仍然存在意识上的阻碍。经过相应的治疗,总共74例患者中有6例出现肺部感染的情况,并且死亡9例,病死率达到11.8%。结论:在治疗颅脑损伤时采用咪达唑仑、芬太尼、异丙酚、维库溴胺进行麻醉治疗的效果较好,可以试着进行推广治疗。

Objective:To summarize the treatment method and experience of surgical treatment of traumatic brain injury.Methods:From October2013 to October 2014,74 patients with craniocerebral trauma were received,including 30 female patients and 44 male patients,their average age was55 years old.Result:All the 74 patients were satisfied with the anesthesia effect.After the appropriate treatment,a total of 74 patients in 6cases of pulmonary infection,and 9cases died,the mortality rate reached 11.8%.Conclusion:In the treatment of craniocerebral injury by midazolam with midazolam,fentanyl,propofol,vecuronium bromide anesthesia treatment effect is good,can try to promote treatment