期刊文献+

颅内动脉瘤夹闭术麻醉恢复期常见并发症分析

原文传递
导出
摘要 目的 回顾性调查颅内动脉瘤夹闭术麻醉恢复期常见并发症的发生情况.方法 对2009年3月至2013年5月收治629例行颅内动脉瘤夹闭术患者麻醉恢复期并发症进行回顾性分析.结果 629例颅内动脉瘤患者在麻醉后恢复室的平均观察时间为2h.并发症包括高血压(185例,29.4%)、躁动(92例,14.6%)、术后恶心呕吐(89例,14.1%)、寒战(58例,9.2%)、心律失常(57例,9.1%)、苏醒延迟(31例,4.9%)、疼痛(30例,4.8%)、呼吸道梗阻(19例,3.0%)、低氧血症(11例,1.7%)、低血压(1例,0.2%).患者转出麻醉后恢复室时行改良Aldrete评分:4分1例(0.2%)、6分16例(2.5%)、7分6例(1.0%)、8分24例(3.8%)、9分91例(14.5%)、10分491例(78.1%).结论 颅内动脉瘤夹闭术患者麻醉恢复期常见并发症有其特殊性,针对性防治可减少发生率,改善预后.
出处 《中国医师进修杂志》 2013年第33期47-49,共3页 Chinese Journal of Postgraduates of Medicine
  • 相关文献

参考文献17

  • 1Vlak MH, Rinkel GJ, Greebe P, et al. Independent risk factors for intracranial aneurysms and their joint effect: a case-control study. Stroke, 2013,44(4 ) : 984-987. 被引量:1
  • 2Dorsch N. A clinical review of cerebral vasospasm and delayed isehaemia following aneurysm rupture. Acta Neurochir, 2011,110 ( 1 Suppl) : S5-6. 被引量:1
  • 3Bhagat H, Dash HH, Bithal PK, et al. Planning for early emergence in neurosurgical patients: a randomized prospective trial of low-dose anesthetics.Anesth Analg, 2008,107 (4) : 1348- 1355. 被引量:1
  • 4Khush K, Kopelnik A, Tung P, et al. Age and aneurysm position predict patterns of left ventricular dysfunction after subarachnoid hemorrhage. J Am Soc Echocardiogr,2005,18(2) : 168-174. 被引量:1
  • 5Kawasaki T, Azuma A, Sawada T, et al. Electrocardiographic score as a predictor of mortality after subarachnoid hemorrhage. Circ J, 2002,66(6) : 567-570. 被引量:1
  • 6张恒,毛伯镛,张跃康,鞠延,孙鸿.颅内动脉瘤术后低血压反应的危险因素分析[J].中国微侵袭神经外科杂志,2004,9(8):337-339. 被引量:5
  • 7李学斌,王会文,张雪梅,侯春梅,曾横宇,韩如泉.颅脑手术麻醉后恢复室常见并发症[J].中国康复理论与实践,2010,16(5):489-491. 被引量:6
  • 8Mordhorst C, Latz B, Kerz T,et al. Prospective assessment of postoperative pain after craniotomy. J Neu rosurg Anesthesiol, 2010,22(3) :202-206. 被引量:1
  • 9Thibault M, Girard F, Moumdjian R,et al. Craniotomy site influences postoperative pain following neurosurgical procedures: a retrospective study.Can J Anaesth, 2007,54(7) : 544-545. 被引量:1
  • 10Batoz H, Verdonck O, Pellerin C, et al. The analgesic properties of scalp infiltrations with ropivacaine after intracranial tumoral resection.Anesth Analg, 2009,109( 1 ) : 240-244. 被引量:1

二级参考文献32

  • 1张庆国,许睿,陈茵,梁启波,徐世元.脑血管病神经介入治疗的麻醉体会[J].实用医学杂志,2006,22(20):2408-2409. 被引量:3
  • 2[1]Robertson CS, Valadka AB, Hannay HJ, et al. Prevention of secondary ischemic insults after severe head injury [J]. Crit Care Med, 1999; 27(10): 2086-2095. 被引量:1
  • 3[2]Kanemoto Y, Kamada K, Sasaoka Y, et al. The mechanism of cardiorespiratory arrest due to subarachnoid hemorrhage [J].No Shinkei Geka, 1995; 23(7): 575-579. 被引量:1
  • 4[3]Frykholm P, Andersson JL, Langstrom B, et al. Haemodynamic and metabolic disturbances in the acute stage of subarachnoid haemorrhage demonstrated by PET [J]. Acta Neurol Scand, 2004; 109(1): 25-32. 被引量:1
  • 5[4]Tung P, Kopelnik A, Banki N, et al. Predictors ofneurocardiogenic injury after subarachnoid hemorrhage [J]. Stroke, 2004;35(2):548-551. 被引量:1
  • 6[5]Macmillan CS, Grant IS, Andrews PJ. Pulmonary and cardiac sequelae of subarachnoid haemorrhage: time for active management [J] ? Intensive Care Med, 2002; 28(8): 1012-1023. 被引量:1
  • 7[6]Donaldson JW, Pritz MB. Myocardial stunning secondary to aneurysmal subarachnoid hemorrhage [J]. Surg Neurol, 2001;55(1):12-16. 被引量:1
  • 8[7]Mayer SA, Fink ME, Homma S, et al. Cardiac injury associated with neurogenic pulmonary edema following subarachnoid hemorrhage [J]. Neurology, 1994; 44(5): 815-820. 被引量:1
  • 9[8]Robert GG, Winifred JH. Principles of Neurosurgery [M]. 2nd edition. New York: Raven Press, 1999: 262. 被引量:1
  • 10Kopman AF,Yee PS,Neuman GG.Relationship of the train-of-four fade ratio to clinical signs and symptoms of residual paralysis in awake volunteers[J].Anesthesiology,1997,86(4):765-771. 被引量:1

共引文献13

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部