摘要
目的探讨淋巴水肿淋巴静脉吻合术饱胃患者行全麻快速诱导的可行性。方法选择行淋巴静脉吻合术患者150例,术前进食脂肪餐,行全麻快速诱导、气管插管。术中抽取胃液,测胃液的pH值、胃液量,按术后是否给予止吐药,将其分成两组,以是否发生恶心呕吐为观察指标,对以上数据进行卡方检验。结果胃液量和发生恶心呕吐之间具有统计学差异(P<0.05);是否给予止吐药物与发生恶心呕吐之间具有统计学差异(P<0.05);150例患者未发生误吸。结论淋巴水肿饱胃患者行淋巴静脉吻合术,快速诱导,气管插管是一种较为安全的诱导方法。
Objective To investigate the safe and feasible method of fast inducing intubation adopted on full-stomach patients undergoing lymph vein anastomosis.Methods It is selected that 150 patients of preoperative eating fat meal with lymph vein anastomosis undergoing fast inducing intubation in our hospital.It is recorded that the pH value of gastric juice and gastric juice volume from extraction of gastric juice;It is divided into two groups according to whether given anti-nausea drugs.The data is analysed with the chi-square test according to whether nausea and vomiting occurred.Results It showed statistical difference between the volume of gastric juice and the occurrence of nausea and vomiting.（P〈0.05）It showed statistically difference between whether to give antiemetic drugs and the occurrence of nausea and vomiting（P〈0.05）,induction of general anesthesia of 150 cases were successfully completed,no patient had vomiting and aspiration.Conclusion Fast induction and endotracheal intubation is a relatively safe induction method for lymphedema patients with full stomach of general anesthesia in lymph vein anastomosis.
作者
刘炜
李红彬
张海静
LIU Wei LI Hong-bin ZHANG Hai-jing(Department of Anesthesiology, Beijing Yanjing Medical College Affiliated Hospital of Liangxiang City ,Beijing 102401 ,China)
出处
《中国实验诊断学》
2016年第11期1887-1889,共3页
Chinese Journal of Laboratory Diagnosis
关键词
淋巴水肿
呕吐和误吸
胃液量
lymphedema
Vomiting and aspiration
Amount of gastric juice
