摘要
目的探讨急腹症合并感染性休克的临床常见类型及麻醉处理方式。方法选择本院2008年6月~2011年6月收治的40例急腹症合并感染性休克患者,随机分为联合组和对照组,每组各20例。联合组采用全麻复合硬膜外阻滞麻醉,对照组采用单纯气管内全麻。对插管前后两组患者的生命体征进行观察比较。结果联合组插管前后生命体征变化不明显;对照组插管前后,生命体征变化差异有统计学意义(P<0.05)。且联合组的术后苏醒时间比对照组缩短。结论全麻复合硬膜外阻滞麻醉法效果佳,而且安全,值得临床进一步推广。
Objective To discuss the common types of acute abdominal combined with septic shock and its processing mode of anesthesia.Methods Forty cases of patients with acute abdomen combined with septic shock were selected from June 2008 to June 2011 in our hospital,and were randomly divided into combination group and control group,each group of 20 cases.The combination group was treated with general anesthesia combined with epidural anesthesia,the control group was treated with pure endotracheal general anesthesia.Vital signs were observed and compared in patients of the two groups before and after intubation.Results The changes of vital signs were not significantly of combination group before and after intubation,but which were significantly of control group before and after intubation,the differences were significant(P 0.05).The postoperative recovery time of combination group was shorter than that of the control group.Conclusion The effect of general anesthesia combined with epidural anesthesia is good and safety.It is worthy of further promotion.
出处
《中国当代医药》
2012年第3期80-80,82,共2页
China Modern Medicine
关键词
急腹症
感染性休克
硬膜外阻滞
全身麻醉
Acute abdomen
Septic shock
Epidural block
General anesthesia