摘要
随着我国社会经济的发展和人民生活水平的提高,心脑血管疾病已成为影响我国人民健康的第一大杀手。而心脏外科手术麻醉的复杂性和多样性,对于麻醉医师来说是一项艰巨的挑战,这不仅因为心脏疾病患者多数存在心功能减退或心力衰竭、内环境严重紊乱、合并其他慢性疾病等,还因为心脏外科手术的操作和体外循环的使用,均导致了心脏外科术后麻醉合并症相对较多,而这也对心血管外科的麻醉医师提出了更高的要求。麻醉合并症是指麻醉药物、方法、仪器设备、麻醉处理等直接引起原发病之外的损伤及其后果。本文对心脏术后的麻醉合并症进行了系统的分类归纳,并对相应的处理原则进行了分析概括,同时还对麻醉合并症的预防提出了相应的建议,以期在心脏术后麻醉合并症这一方面做出指导性的总结。
With the development of the social economy and the improvement of people’s living standard,the incidence of cardiovascular disease increased year by year,becoming the main disease that affect the health of our people.Due to the complexity and diversity of cardiac surgery,anesthesiologists are now confronting an overwhelming challenge.Not only because most patients with heart disease are associated with cardiac dysfunction,heart failure or other chronic diseases,but also because the operation of cardiac surgery and the use of cardiopulmonary bypass that lead to the increasing morbidity of anesthetic complications after cardiac surgery,greater demands are accordingly being placed on the anesthesiologists.Anesthetic complications are defined as damage or consequences directly caused by narcotic drugs,types of anesthesia,equipment and management of anesthesia,not including primary diseases.In this paper,anesthetic complications after cardiac surgery were systematically classified,and the principles of corresponding treatment as well as the prevention were analyzed and put forward,to make a summary of guidance about anesthetic complications after cardiac surgery.
出处
《首都医科大学学报》
CAS
北大核心
2015年第3期382-387,共6页
Journal of Capital Medical University
关键词
麻醉合并症
心脏手术
合并症处理
anesthetic complications
cardiac surgery
complication treatment
