针刺复合安氟醚吸入全麻食管癌切除术临床操作规程

根据国家“九·五”攻关课题“优化针药复合麻醉和镇痛的临床及机理研究”的子课题之一———“针刺复合安氟醚吸入全麻食管癌切除临床研究”的结果 ,特制订出下列技术操作规程。麻醉操作规程1　麻醉指征1 .1　适应症 :凡自愿接受食管癌根治手术的患者 ;病史清楚 (进行性吞咽困难 ) ;食道钡餐检查和 (或 )胃镜检查及活检病理诊断明确。1 .2　相对禁忌症 :严重心肺功能不全者 ;严重高血压者 ;年龄 70岁以上者等。2　麻醉前准备2 1　麻醉师术前访视病人 :了解有关病史和手术方式(包括手术进路 ) ,进行相应体检 ,并向病人耐心、详细解释有关麻…

The Operating Rules of Acupuncture Combined with General Anesthesia of Enflurane Inhalation for Resection of Esophageal Carcinoma

In accordance with clinical research results of Chinese scientific & technological project of the “9th Five year Program" ——“acupuncture combined with general anesthesia of enflurane inhalation for resection of esophageal carcinoma", the operating rules of the anesthesia, and the rules of the operation of esophageal carcinoma resection have been formulated. The anesthesia operating rules comprise 1) clinical indications of anesthesia: a) indications, and b) relative contraindications; 2) preparations prior to the anesthesia: a) visiting patients; and b) drug application before operation; 3) anesthetic method: a) acupuncture method, bilateral Sanyangluo (TE 8) to Ximen (PC 4) and Xiayifeng, stimulated with 2～4 mA for EA and 10～13 mA for acupoint skin stimulation, frequency 2/15 Hz, 15～30 min, and b) general anesthesia; 4) anesthesia control;and 5) post anesthesia management. The rules of the operation include a) operation posture (right or left lying position); b) incision location; c) esophgectomy and esophagogastrostomy; and d) post operation nursing.