摘要
目的 介绍重比重布比卡因脊麻用于高龄患者人工髋关节置换手术的体会。方法 19例ASAⅡ～Ⅲ级 80岁以上的高龄患者 ,按 0 12～ 0 15mg/kg于L3～ 4间隙行重比重布比卡因脊麻 ,记录术中BP、HR、SpO2 、呼吸、升压药使用情况及并发症。结果 19例脊麻全部成功 ,阻滞平面T8～ 10 以下 ,面罩吸氧下SpO2 均>97% ,除 3例SBP下降超过术前 3 99kPa需处理外 ,余例BP、HR均较平稳 ,术中、术后未见其他并发症。结论 只要控制药物用量、管理得当 ,脊麻用于高龄患者髋部手术是安全可行的。
Objective To introduce the experiences of spinal anesthesia with hyperbaric bupivacaine for senile hip arthroplasty. Methods Nineteen cases of senile hip arthroplasty (80 years or older, ASA class Ⅱ～Ⅲ) were undergone spinal anesthesia (L 3～4 interspace) with hyperbaric bupivacaine(0.12～0.15 mg/kg). Blood pressure (BP), heart rates (HR), pulse oximeteric (SpO 2),respiration, hemodynamic states and complications intraoperative were recorded. Invasive blood pressure (IBP) was monitored for all cases. Results Nineteen spinal anesthesia were performed successfully, and the blocking levels were under L 8～10 . The levels of SpO 2 were over 97% with the inspiration of oxygen for all cases. The BP and HR in most patients were stable during operation except three patients whose systolic blood pressure reduced more than 3.99 kPa compared with preoperation needed management.There are no intraoperative and postoperative complications. Conclusion Spinal anesthesia can be performed safely even in very old patients with hip arthroplasty, providing nicely control of the dose of local anesthetic and careful management.
出处
《临床骨科杂志》
2004年第4期446-447,共2页
Journal of Clinical Orthopaedics
