摘要
目的:研究老年患者腹腔镜胆囊切除术(LC)理想的麻醉及围手术期应留意的问题。方法:对321例腹腔镜胆囊切除术老年患者(65岁以上),用力在西、氟芬合剂、异丙酚、依托咪酯、琥珀胆碱诱导气管插管全麻联合,1%普鲁卡因静脉复合麻醉。结果:手术后有203例老年患者在3～5min达到了自主呼吸恢复满意予以拔除气管插管;手术后有118例老年患者在催醒后实现拔管目的。结论:异丙酚、咪唑安定、依托咪酯、氟芬合剂、琥珀、1%普鲁卡因静脉复合液联合气管插管全身麻醉,是老年人术较理想的麻醉方法。麻醉、气腹、位置对患者的呼吸系统、循环有一定效果,但只需要加强管理,采取相应措施,老年患者全身麻醉下LC是安全、可行的。
Objective ： To study ideal anesthetic and perioperation should pay attention question in elderly patients undergoing laparoscopic cholecystectomy （LC）.Methods ： 321 cases of laparoscopic cholecystectomy in elderly patients （over 65 years）, force in the west, innovar, propofol, etomidate, succinylcholine induced by tracheal intubation general anesthesia combined with 1% intravenous procaine balanced anesthesia.Results ： 203 cases of elderly patients after surgery within 3-5 rain to achieve recovery of spontaneous breathing the satisfaction be extubated ; 118 cases of elderly patients after surgery snooze after extubation purpose.Conclusion ： Propofol, midazolam, etomidate, Innovar, amber, 1% intravenous procaine compound liquid combined with general anesthesia in elderly patients is an ideal anesthetic method.Anesthesia, pneumoperitoneum, position have a certain effect in the patient＇s respiratory, circulation, but only need to strengthen management, to take corresponding measures, LC in elderly patients under general anesthesia is a safe, feasible.
出处
《中外医学研究》
2012年第36期107-108,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
腹腔镜
胆囊切除术
麻醉
老年患者
Laparoscopy
Cholecystectomy
Anesthesia
Older patients
