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颅脑手术患者苏醒期的麻醉管理 被引量：15

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摘要 神经外科患者麻醉苏醒期间的一系列生理变化,如气管导管和尿管的刺激、疼痛、低温寒战、低氧及高碳酸血症等引起的血流动力学波动,可导致颅内压增高,加重大脑低灌注区域神经元的损伤,并使术中已被电凝的血管再次出血,增加术后颅内出血量,甚至发生脑血管意外而需再次手术。因此在神经外科围麻醉期,维持呼吸和心血管系统的稳定,抑制交感神经兴奋,降低神经系统的并发症等尤为重要。
作者 唐朝亮 李娟
机构地区 安徽医科大学附属省立医院麻醉科
出处 《临床麻醉学杂志》 CAS CSCD 北大核心 2015年第3期305-307,共3页 Journal of Clinical Anesthesiology
关键词 神经外科患者 苏醒期 麻醉管理 气管导管 麻醉恢复期 围麻醉期 拔管期 脑低灌注 血流动力学 颅脑手术
分类号 R614 [医药卫生—麻醉学]
  • 相关文献

参考文献15

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二级参考文献21

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共引文献74

同被引文献127

引证文献15

二级引证文献67

临床麻醉学杂志
2015年 第3期

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