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乳癌手术麻醉方法的临床分析
引用本文:云虹,胡晓云. 乳癌手术麻醉方法的临床分析[J]. 保健医学研究与实践, 2009, 0(1)
作者姓名:云虹  胡晓云
作者单位:北京大学医院;北京世纪坛医院麻醉科;
摘    要:目的对3种乳癌手术麻醉方法进行比较,以选择合理的麻醉方法。方法对800例乳癌手术病人的三种麻醉的方法、麻醉选择、麻醉并发症、麻醉注意事项等进行了分析总结。结果硬膜外阻滞麻醉(EPA)穿刺成功226例(98.15%),阻滞效果满意208例(90.04%),出现轻度并发症4例;静脉吸入复合麻醉(VICA)气管插管成功率100%,95例(20.43%)气管内插管时心血管反应较显著;全身静脉麻醉(TIA)94例(90.38%)心血管反应较显著,62例(59.62%)术中舌根后坠需置咽喉通气道或托起下颌维持呼吸道通畅。结论EPA、VICA发生并发症少于TIA,乳癌手术麻醉应选择EPA、VICA,TIA慎用。

关 键 词:乳腺癌  EPA  VICA  TIA  

The Analysis of Anesthesia of Breast Cancer Surgery
YUN Hong HU Xiao-yun. The Analysis of Anesthesia of Breast Cancer Surgery[J]. Health Medicine Research and Practice, 2009, 0(1)
Authors:YUN Hong HU Xiao-yun
Affiliation:1.Beijing University hospital;Beijing 100871;China;2.Beijing Shijitan hospital;Beijing 100038;China
Abstract:Objective Three kinds of anesthesia methods in breast cancer sargery were compared to select the appropriate method of anesthesia. Method Three different methods of anesthesia, anesthesia options,complications of anesthesia and anesthesia attentins from 800 cases of breast cancer patients were analyzed and summarized. Results In EPA,226 cases(98.15%) were punctured successfully,208 cases(90.04%) with satisfied blocking, 4 cases with mild complications. In VICA, the success rate of tracheal intubation was 10...
Keywords:Breast cancer  EPA  VICA  TIA  
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