重型颅脑损伤急诊手术麻醉的临床分析

目的:探讨重型颅脑损伤急诊手术麻醉要点及临床意义。方法:对我院2007年12月至2011年6月期间接受气管插管静脉复合麻醉下急诊手术的116例重型颅脑损伤患者的临床资料进行回顾性总结。结果:116例重型颅脑损伤患者中,有7例死亡,19例致残。并发症共15例,其中术后继发性出血致脑疝7例,中枢性呼吸衰竭4例,并发上消化道出血2例,腹泻2例,并发症发生率为12.93%。结论:针对不同患者术前正确评估病情,积极做好术前准备,采取麻醉诱导和维持期平稳、掌握精准的麻醉剂量和综合治疗能极大的提高重型颅脑损伤手术的成功性。

Clinical Analysis of Emergency Anesthesia with Severe Head Injury

Objective:To investigate the severe head injury emergency points of anesthesia and clinical significance.Methods:Clinical materials of 116 cases of severe head injury patients accept tracheal intubation compound vein anesthesia of emergency operation were retrospective summaryed from December 2007 to June 2011 in our hospital.Results:In 116 cases of severe head injury patients,seven cases deathed,19 cases disabilityed.15 cases had complications,7 cases had surgery with cerebral hernia hemorrhage secondary,4 cases had central respiratory failure,2 cases had concurrent upper gastrointestinal bleeding,2 cases had diarrhea,complication rate was 12.93%.Conclusions:According to different preoperative right evaluation of patients with illness,and actively prepare for the operation,take narcotic induction and maintenance period,and grasp the precise stable anesthesia and comprehensive treatment,can greatly increase the success of the severe head injury of the operation.