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腹腔镜可调节胃束带术治疗肥胖症的麻醉体会
引用本文:于天超,林万春.腹腔镜可调节胃束带术治疗肥胖症的麻醉体会[J].黑龙江医学,2012,36(4):275-276.
作者姓名:于天超  林万春
作者单位:于天超 (大庆油田总医院麻醉科,黑龙江,大庆,163001) ; 林万春 (大庆油田总医院麻醉科,黑龙江,大庆,163001) ;
摘    要:目的研究对过度肥胖的患者行腹腔镜可调节胃束带术的麻醉特殊性及处置。方法过度肥胖患者18例在静吸复合全麻下行腹腔镜胃束带术,快速诱导,气管内插管,术中瑞芬太尼-七氟醚静吸复合全麻,术后随访。结果患者均麻醉满意,无术中知晓及麻醉意外。结论肥胖患者应重视术前访视、评估。正确掌握拔管时机,预防并发症。

关 键 词:肥胖症  腹腔镜  胃束带术  麻醉

Laparoscopic Adjustable Gastric Banding to Treat Obesity Anesthesia
YU Tian-chao,LIN Wan-chun.Laparoscopic Adjustable Gastric Banding to Treat Obesity Anesthesia[J].Heilongjiang Medical Journal,2012,36(4):275-276.
Authors:YU Tian-chao  LIN Wan-chun
Institution:(Department of Anesthesiology,the General Hospital of Daqing Oilfield,Daqing 163001,CHINA)
Abstract:Objective To study the specificity and disposal of anesthesia for obese patients underwent laparoscopic adjustable gastric banding. Methods 18 cases of obese patients in the quiet combined with inhalation anesthesia by laparoscopic gastric banding,rapid induction,endotracheal intubation,intraoperative remifentanil-sevoflurane isoflurane anesthesia,patients were followed up. Results The patients were narcotic satisfaction,no intraoperative awareness and anesthetic accidents. Conclusion Obese patients should pay attention to the preoperative interview,assessment.Proper understanding of the extubation timing,and prevent complications.
Keywords:Obesity  Laparoscopic  Gastric banding  Anesthesia
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