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硬膜外麻醉用于老年病人经尿道前列腺汽化术的麻醉
引用本文:田国刚,张士明,张爱民,马富俊.硬膜外麻醉用于老年病人经尿道前列腺汽化术的麻醉[J].海南医学,2002,13(6):8-9.
作者姓名:田国刚  张士明  张爱民  马富俊
作者单位:1. 海南海口市妇女儿童医院麻醉科,海口,570102
2. 山东胜利油田中心医院,东营,257034
摘    要:目的 探讨老年病人经尿道前列腺汽化术 (TUVP)的麻醉方法。方法  1 0 2例老年病人在连续硬膜外麻醉下行尿道前列腺汽化术 ,观察了麻醉手术效果、生命体征的变化、手术操作条件及术中术后的麻醉手术并发症的发生情况。结果  1 0 2例病人均痊愈出院。麻醉效果优良率 94%。Bromage <2的例数占 84%。术中出现血压下降等麻醉手术并发症较少且都得到及时纠正。结论 低浓度局麻药硬膜外麻醉用于老年病人TUVP手术对病人干扰少、经济、安全实用 ,可以作为首选的麻醉方法

关 键 词:硬膜外麻醉  经尿道前列腺汽化术  麻醉  老年人  前列腺增生

Clinical Study of Transurethral Vaporization Prostetectomy of elderly with epidural anesthesia
TIAN Guogang ZHANG Shimin et al.Clinical Study of Transurethral Vaporization Prostetectomy of elderly with epidural anesthesia[J].Hainan Medical Journal,2002,13(6):8-9.
Authors:TIAN Guogang ZHANG Shimin
Institution:TIAN Guogang ZHANG Shimin et al.Department of Anesthesiology Shengli Oil Field Center Hospital,Dongying,257034.
Abstract:Objective: To evaluate the epidural anesthetic effect and safety in Transurethral Vaporization Prostetectomy of elderly.Methods:102 patients were undergoing TUVP with continuous epidural anesthesia with lower concentration of lidocaing(1%).The vital signs include NIBP,SBP,DBP,SPO2,ECG,T and effect and safety of anesthesia were observed. Results:102patients were recovered and discharged in time.The complications were lower and conditions of operation were better.There were no TURP syndromes in these cases.Conclusion:Continuous epidural anesthesia is the best anesthetic choice in TUVP of elderly.
Keywords:Transurethral prostetectomy  Vaporization Anesthesia  epidural
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