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全麻知晓-易勿视的并发症 被引量:5

Awareness An Often Neglected Complication of General Anesthesia
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摘要 采用规范化问答对264例普鲁卡因-芬太尼全麻病人术后24h进行知晓调查,其发生率为5.3%。8例知痛,其中1例疼痛严重,并造成术后精神上的创伤,多数发生于缝皮肤的最后几针。本调查范围内的病人知晓发生率明显高于国外全麻报告组,因此必须采用切实可行的预防该并发症的措施。 64 ASA Ⅰ-Ⅱ patients underwent procaine=oxygen and fentanyl anesthesia were asked a set 0f questions 24hours post-operatively to determine the incidence of awareness during general anesthesia.Patients who were deaf,blind or had altered mental status pre-operatively and intracranial surgeical paticnts were excluded.Results show a5.3%incidence of awareness. One patient reported experiencing extreme pain and suffered a severe psychologicalsequelae. Eight patients remembered pain feeling at the end of operation. The incidence of intraoperative recall inthis population of patients is remarkably high. Steps should be taken to prevent this often neglected complicationwhen patients are given general anesthesia.
出处 《临床麻醉学杂志》 CAS CSCD 北大核心 1995年第5期286-287,共2页 Journal of Clinical Anesthesiology
关键词 全身麻醉 并发症 普鲁卡因 芬太尼 General anesthesia Complications Awareness
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