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芬太尼/哌替啶致Oddi括约肌痉挛的探讨
引用本文:柴小青 高玉华. 芬太尼/哌替啶致Oddi括约肌痉挛的探讨[J]. 肝胆外科杂志, 1997, 5(4): 239-240
作者姓名:柴小青 高玉华
作者单位:安徽省立医院!合肥,230001,安徽省立医院!合肥,230001,安徽省立医院!合肥,230001
摘    要:200例择期胆囊切除+术中胆道造影患者分二组;芬太尼17ug/kg静注(F组,n=100)、哌替啶1mg/kg静注。评价两种麻醉性镇痛药致Oddi括约肌痉挛的发生率,结果:8例病人造影剂不能通过Oddi括约肌、十二指肠不显影,胆总管下端显示“鸟嘴样”或“假结石”影像,后者3例病人胆总管探查阴性,静注纳络酮0.4mg后,全部病例造影剂顺利进入十二指肠。结论:硬膜外麻醉辅用小剂量芬太尼/哌替啶时Odd

关 键 词:芬太尼 哌替啶 Oddi括约肌痉挛

Study of fentanyl/Pethidine induced Spasm of the sphincter of oddi
CHAI Xiaoqing,GAO Yuhua,CHAI Zhongpei. Study of fentanyl/Pethidine induced Spasm of the sphincter of oddi[J]. Journal of Hepatobiliary Surgery, 1997, 5(4): 239-240
Authors:CHAI Xiaoqing  GAO Yuhua  CHAI Zhongpei
Abstract:Two groups of 100 patients were studied prospectively to assess the incidenceof spasm of the sphincter of Oddi (ISSO ) during elective cholecystectomy andcholangiography under epidural anesthesia with fentanyl/pethidine-supplemented analgesia.We Conclude that the ISSO using fentanyl/pethidine-supplemented is low(4%) , but failure to apprecate it may lead to needless surgical exploration of the CBD . Naloxone may effectively identify narcotic-induced spincter spasm and stone impaction.
Keywords:Fentanyl Pethidine Sphineter of Oddi spasm
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