全身麻醉苏醒延迟原因及处理

目的探讨全身麻醉（全麻）患者全麻后苏醒延迟的原因并总结处理经验。方法回顾性分析15例患者全麻后苏醒延迟的原因和处理方法。结果15例患者均安全度过麻醉恢复期,未发生严重并发症。苏醒延迟的原因为麻醉药物作用延长、低氧血症和（或）CO2蓄积、手术前夜有效睡眠时间过短、术中体温过低。处理的方法为在支持治疗的同时积极查找和针对原因处理,并加强术后随访。结论患者全麻后苏醒延迟的原因复杂,在支持治疗基础上尽早发现原因并处理,可避免严重并发症,确保患者恢复期安全。Ramsay镇静深度评分有利于判断患者苏醒程度。

Retrospective analysis of delayed emergence in 15 patients from general anesthesia

Objective To review the cause of delayed emergence patients from general anesthesia and summarize the experience of treatment.Methods A retrospective analysis of fifteen delayed emergence patients was carried out,experience of treatment was summarized.Results All the fifteen patients recoveried successfully.The cause of delayed emergence included prolonged drug elimination,hypoxemia and hypercarbia,hypothermia and deficient dormancy before operation.Experience of successful recovery includes basic support t...