期刊文献+

感染性休克患者麻醉体会2例 被引量:10

下载PDF
导出
摘要 通过对外科急腹症合并感染性休克患者2例的麻醉,探讨外科急腹症伴中毒性休克的麻醉处理经验。麻醉诱导用药采用对循环抑制较轻的药物,加强术中监测,纠正水、电解质、酸碱失衡,注意早期器官功能的保护。观察患者麻醉诱导插管后、手术结束时的血流动力学情况和患者的转归,麻醉诱导插管后患者血压有下降,术毕患者的血流动力学较术前改善,血压回升,心率减慢。外科急腹症伴中毒性休克的麻醉处理重点在麻醉方法和药物的选择上;维持内环境的稳定和各脏器的功能,避免脏器损伤是麻醉成功的关键。
作者 刘荣伟 王陆
机构地区 沈阳七三九医院
出处 《中国现代医生》 2009年第29期117-118,共2页 China Modern Doctor
  • 相关文献

参考文献4

二级参考文献20

  • 1Wheeler AP, Bernard GR. Treating patients with severe sepsis. N Engl J Med, 1999,340:207-214.
  • 2Annane D, Sébille V, Troché G, et al. A 3-level prognostic classification in septic shock based on cortisol levels and cortisol response to corticotropin. JAMA, 2000, 283: 1038-1045.
  • 3Perla D, Marmorston J. Suprarenal cortical hormone and salt in the treatment of pneumonia and other severe infections. Endocrinology, 1940,27: 367-374.
  • 4Hahn EO,Houser HB,Rammekamp CH,et al.Effect of cortisone on acute streptococcal infections and post-streptococcal complications. J Clin Invest,1951,30:274.
  • 5Schumer.Steroids in the treatment of clinical septic shock. Ann Surg, 1976,183:333.
  • 6Effect of high-dose glucocorticoid therapy on mortality in patients with clinical signs of sepsis. The Veterans Administration Systemic Sepsis Cooperative Study Group. N Engl J Med, 1987, 317:659-665.
  • 7Bone RC, Fisher CJ, Clemmer TP, et al. A controlled clinical trial of high-dose methylprednisolone in the treatment of severe sepsis and septic shock. N Engl J Med, 1987, 317:653-658.
  • 8Luce JM,Montgomery AB,Marks JD,et al.Ineffectiveness of high-does methyprednisolone in preventing parenchymal lung and improving mortality in patients with septic shock. Am Rev Respir Dis,1988,138:62.
  • 9McGowan JE,Chesney PJ, Crossley KB,et al. Guidelines for the use of systemic glucocorticoids in the management of selected infections. J Infect Dis, 1992, 165:1-13.
  • 10Lefering R, Neugebauer EA.Steroid controversy in sepsis and septic shock: A meta-analysis. Crit Care Med, 1995, 23: 1294-1303.

共引文献29

同被引文献54

引证文献10

二级引证文献27

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部