摘要
目的探讨颅内动脉瘤围手术期的麻醉处理原则。方法采用静脉快速诱导气管内插管、静吸复合全麻、降低颅内压等方法处理。分析110例颅内动脉瘤麻醉方案,术中施行加深麻醉、脑保护等措施预防术中脑动脉瘤破裂,术中监测ECG、ABP、HR和SPO2。结果麻醉及降压效果满意,无手术死亡病例,术中动脉瘤破裂6例。结论围手术期麻醉处理的关键是采取有效措施防止动脉瘤破裂出血,降低颅内压,维持内环境的稳定。
Objective To investigate the principle of anesthetic management for intracranial aneurysm. Method The anesthetic management including rapid intravenous induction followed by tracheal intubation,intravenous and inhalation balanced anesthesia, intracranial pressure reduction, etc. The anesthetic regimens of 110 cases of intracranial aneurysm were analyzed. Deep anesthesiology and protective measures for brain were implemented introperatively to prevent rapture of cerebral aneurysm. Intraoperative ECG, ABP, HR, and SPO2 were monitored. Result The effects of anesthesia and lowering of ABP were satisfactory, no death occurred during the operation, and aneurysm ruptured six cases. Conclusion The key of perioperative anesthetic management is to prevent rupture and bleeding of aneurysm, to reduce intracranial pressure, and balance internal environment.
出处
《医学信息》
2008年第5期694-695,共2页
Journal of Medical Information
关键词
颅内动脉瘤
动脉瘤夹闭术
麻醉
Intracranial aneurysm
Incarceration of aneurysm
anesthesia
