摘要
[目的]总结脊柱肿瘤手术的麻醉处理,及需关注的处理要点。[方法]回顾分析5 a来完成的546例脊柱肿瘤手术患者麻醉处理的资料,以及手术出血、术中并发症的发生情况等等。[结果]546例患者无1例术中死亡。手术平均出血1 997m l。3例发生急性肺水肿,3例怀疑有喉头水肿,带管送返病房。1例颈椎手术患者术后有暂时性的失明。双腔气管导管插管者有3例发生导管打折。无1例发生术中气管导管脱落。[结论]脊柱肿瘤手术的麻醉要注意预防和处理术中的大量失血,做好气道管理,避免各种体位的不良影响。
[ Objective ] To summarize the clinical experience on anesthesia techniques for surgery of spinal tumors. [Method] A total of 546 patients undergoing surgery of spinal tumors were retrospectively studied, and the complications of surgery were also collected. [ Result] There was no perioperative death. The average degree of blood loss was 1997ml per patient who usually required a large volume of blood transfusion. Acute pumonlary edema were occurred in 3 patients who were suspected to develop larynx edema immediately after operation. A perioperative visual loss following cervical spine surgery was also founded. [ Conclusion] It is important to prevent and minimize blood loss by varied techniques during operation. Peventing adverse effect of operative position on patients and protecting their airway are also crucial for spinal surgery.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2006年第7期519-521,共3页
Orthopedic Journal of China
关键词
脊椎肿瘤
麻醉
大量失血
Spine neoplasm
Anesthesia
Blood loss
