中国学术期刊网络出版总库入编期刊
CNKI中文期刊全文数据库全文收录期刊
中国核心期刊(遴选)数据库全文收录期刊
万方数据——数字化期刊群收录期刊
中文科技期刊数据库全文收录期刊

主管:陕西省卫生健康委员会
主办:西安心身医学研究所
   西安交通大学第一附属医院
国际标准刊号:ISSN2096—1413
国内统一刊号:CN61—1503/R

感染性休克患者的麻醉处理措施分析

同娟妮

(陕西潼关县人民医院,陕西 渭南,714300)

浏览次数:93次 下载次数:498次

摘要:

目的 探究外科急腹症引起的感染性休克患者的有效麻醉处理措施。方法 选择2014年3月至2016年3月我院收治的108例外科急诊患者为研究对象,将其分为两组,每组54例。对照组实施常规处理,观察组实施麻醉处理。处理结束后,对比两组患者的SPO2、HR、RR、DBP 及SBP情况。结果 和对照组比较,观察组患者的SPO2、HR、RR、DBP及SBP指标改善情况更好,差异存在统计学意义(P<0.05)。结论 在对外科急腹症引起的感染性休克患者进行麻醉处理中,将麻醉药物选择、剂量控制、术前准备和术中管理视为重点环节,可全面改善麻醉期间患者机体内环境,维持正常脏器功能,值得进一步在临床中推广。

关键词:外科急腹症;感染性休克;麻醉

中图分类号:R614文献标志码:A文章编号:2096-1413(2016)27-0159-02

    The anesthesia treatment measures for patients with septic shock
    TONG Juan-ni
    (Tongguan County People`s Hospital of Shaanxi Province, Weinan 714300, China)

    ABSTRACT: Objective To explore the effective treatment measures of anesthesia for patients with septic shock caused by surgical acute abdomen. Methods One hundred and eight cases of patients with surgical emergency from March 2014 to March 2016 admitted in our hospital were collected as study objects, and they were divided into two groups, with 54 cases in each group. The control group was treated with routine treatment and the observation group was treated with anesthetized. After the treatment, SPO2, HR, RR, DBP and SBP in the two groups were compared. Results Compared with the control group, SPO2, HR, RR, DBP and SBP index in the observation group improved significantly better, the differences were statistically significant (P<0.05). Conclusion In the anesthesia treatment of patients with septic shock caused by acute abdomen, the anesthetic drug selection, dose control, preoperative preparation and intraoperative management were regard as key links, which can fully improve the internal environment of patients during anesthesia, maintain normal organ function, and is worthy of further promotion in clinic.
    KEYWORDS: surgical acute abdomen; septic shock; anesthesia

    参考文献:
    [1] 张晓钢.高龄高危患者临床麻醉体会[J].现代医药卫生,2009,25(12):1848.
    [2] 杨茂林.腹腔感染致感染性休克38 例临床治疗体会[J].中国医药 指南,2012,10(10):183-184.
    [3] 连广宇,徐海生,郑美,等.老年病人临床麻醉126例的处理体会[J]. 求医问药:学术版,2011,9(12):41.
    [4] 胡文东.150 例老龄患者麻醉的临床体会[J].北方药学,2011,8(3):54-55.
    [5] 张奎,叶文彬,张秋萍.老年休克患者急诊手术100例麻醉临床体 会[J].中国卫生产业,2012,7(26):145.
    [6] 文汉华.控制性复合硬膜外阻滞和全麻用于急腹症手术的临床观 察[J].华中医学杂志,2009,20(2):296.
    [7] 邹萍坤.全身麻醉患者的麻醉复苏期临床观察与特殊护理体会[J]. 航空航天医学杂志,2015,26(12):1554-1556.

上一篇椎弓根螺钉内固定系统治疗胸腰椎爆裂性骨折124例的疗效分析

下一篇儿科临床实习医师的培养问题探讨