摘要
目的探讨65岁以上老年患者全麻后苏醒延迟的原因和总结处理经验。方法回顾性分析15例老年患者全麻后苏醒延迟的原因和处理方法。结果15例病人均安全度过麻醉恢复期,未发生严重并发症。苏醒延迟的原因为麻醉药物作用延长、低氧血症和(或)CO2蓄积、手术前夜有效睡眠时间过短、术中体温过低。处理的方法为在支持治疗的同时积极查找和针对原因处理,并加强术后随访。结论65岁以上老年患者全麻后苏醒延迟的原因复杂,在支持治疗基础上尽早发现原因并处理,可避免严重并发症,确保老年患者恢复期安全。Ramsay镇静深度评分有利于判断病人苏醒程度。
Objective To review the cause of delayed emergence patients from general anesthesia and summarize the experience of treatment. Methods A retrospective analysis of fifteen delayed emergence patients was carried out ,experience of treatment was summarized. Results All the fifteen patients recoveried successfully. The cause of delayed emergence includes prolonged drug elimination, hypoxemia and hypercarbia, hypothermia and deficient dormancy before operation. Experience of successful recovery includes basic support treatment of ＂ABC＂ and pathogenic treatment as early as possible. Conclusion The cause of delayed emergence in elderly patients is complex. If the cause is found out as early as possible and dealt with accordingly, successful recovery is easy to acquire. Ramsay score is valuable to estimate the level of emergence.
出处
《中国医刊》
CAS
2007年第6期31-32,共2页
Chinese Journal of Medicine
关键词
老年患者
全麻
苏醒延迟
elderly patients
general anesthesia
delayed emergence
