| 268例颈动脉内膜切除术临床麻醉总结 |
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| 引用本文： | 李永华,蒋鑫,宁慧杰,陈巍,傅海龙,袁红斌. 268例颈动脉内膜切除术临床麻醉总结[J]. 国际麻醉学与复苏杂志, 2016, 0(10): 913-916. DOI: 10.3760/cma.j.issn.1673-4378.2016.10.011 |
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| 作者姓名： | 李永华 蒋鑫 宁慧杰 陈巍 傅海龙 袁红斌 |
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| 作者单位： | 第二军医大学附属长征医院麻醉科,上海,200003 |
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| 摘 要： | 目的 总结颈动脉内膜切除术(carotid endarterectomy,CEA)的临床麻醉经验. 方法 回顾分析2012年4月～2015年2月268例CEA患者的临床麻醉管理. 结果 257例患者采用全身麻醉,11例采用颈丛神经阻滞.颈动脉阻断时间(22.3±5.4) min,全身麻醉患者苏醒时间(5.3±1.5) min.术后发生3例脑梗死、1例脑出血、1例心力衰竭. 结论 麻醉期间需要维持足够的脑血流量,降低心肌氧耗,提供快速、平稳的苏醒过程.
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| 关 键 词： | 颈动脉内膜切除术 脑高灌注综合征 脑功能监测 |
Summary of anesthetic management for 268 cases of carotid endarterectomy |
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| Abstract: | Objective To summarize clinical anesthesia experience of carotid endarterectomy(CEA).Methods Anesthetic management details of 268 cases of carotid endarterectomy patients from April 2012 to February 2015 in our hospital were collected for a retrospective analysis.Results Two hundred and fifty-seven cases of patients were under general anesthesia,11 cases were with cervical plexus block.Carotid artery occlusion time was (22.3±5.4) min and the recovery time for general anesthesia was (5.3±1.5) min.There were 3 cases with postoperative cerebral infarction,1 case with cerebral hemorrhage,and 1 case with heart failure.Conclusions It is very important to maintain adequate cerebral blood flow,reduce myocardial oxygen consumption during anesthesia,and to provide fast,smooth awakening process. |
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| Keywords: | Carotid endarterectomy Cerebral hyperperfusion syndrome Cerebral function monitoring |
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