不能平卧急症危重手术病人的麻醉处理(附80例报告)

本文报告80例不能平卧急症危重手术病人麻醉处理的经过和体会，对该类病人处理在麻醉前先将手术床摇成近乎“L”形，然后吸纳氧5～10min后进行麻醉诱导，病人在近乎坐位下行气管插管。对于隔疝病人重点处理好麻醉手术不同阶段的不同呼吸管理。对于心脏粘液瘤病人，重点处理手术体位与血流动力学的关系。全部病例手术麻醉经过顺利。

ANESTHESIA OF EMERGENCY OPERATION ON CRITICAL PATIENTS FAILING TO LIE FLAT

This article is about the protocol of anesthesia of eighty emergency on critical patients failing to lieflat. The operating bed head should be turned up, like "L". The operating patients sit or lie in the bed, inhalingpure oxygen for 5-10 minutes be fore anesthesia. Consequency anesthesia was induced. The patients were incubatedat relatively sitting position. The key point to patients with hernia of diaphragm is management of respiration at dif-ferent stage of anesthesia and operation. The key point to patients with cardiac mucus tumor is proper managementbetween operating position and hemodynarnics. All cases in this article were successful.