超声引导胸椎旁神经阻滞在开胸术后镇痛效果的研究被引量：18

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摘要开胸手术疼痛刺激大,应激反应强烈,术后患者疼痛、烦躁、咳嗽、呼吸困难发生率高,术后各种管道的刺激、长时间强迫体位等因素的影响,可导致患者精神紧张焦虑,患者为避免疼痛,自我保护而采用浅呼吸,减少咳嗽排痰次数,减轻咳嗽力度,从而容易产生肺部感染肺不张及胸腔引流受限等术后并发症,甚至影响心肺功能恢复,延迟引流管拔管时间及出院时间,给患者造成很大的痛苦,增加围术期麻醉管理难度[1]。

作者孔令春张瑞

机构地区山西医科大学第二医院麻醉科山西省人民医院普外科

出处《山西医药杂志》 CAS 2016年第17期2052-2054,共3页 Shanxi Medical Journal

关键词椎旁神经阻滞开胸术后镇痛强迫体位咳嗽排痰麻醉管理患者精神紧张应激反应术后并发症开胸手术胸腔引流

分类号 R614.4 [医药卫生—麻醉学]

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参考文献9

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