摘要
目的 :探讨脊柱骨折合并多发肋骨骨折的麻醉管理方法。方法 :对 5 6例需要在伤后 2 4 h内行后路手术的脊柱骨折合并多发肋骨骨折的病人进行前瞻性研究。根据具体情况予以分组 ,施行不同的麻醉 ,A组 :胸、腰椎脊柱骨折伴截瘫合并多发肋骨骨折 ,无血气胸 ,局麻加强化麻醉。 B组 :胸、腰椎脊柱骨折伴截瘫合并多发肋骨骨折 ,有血气胸 ,静脉全麻。结果 :5 2例顺利完成手术 ,术中脉搏氧饱和度各组之间有差异 ,但不影响手术。结论 :脊柱骨折合并多发肋骨骨折的麻醉方法应根据具体情况加以选择 。
Objective:to survey the Anesthesia Choice of the Spine Fractures with the Multi-fractures of Ribs. Methods:We have performed a perspective study of 56 cases with the spine fractures and ribs that must be operated in 24h with posterior internal fixation. All cases were divided into two groups.Group A:Thoracic or lumbar fractur with paralysis and multi-fracture of rib,without the hemothorax or pneumothorax,local anesthesia and NLA-analgesics. GroupB:Thoracic or lumbar fracture with paralysis and multi-fractures of rib,with the hemothorax or pneumothorax,general anesthesia.Results:All 56 cases were operated smoothly. There were some difference between two groups but there is no asignificant difference in pulse PO2. It did not effect on the operation. Conclusion:the anesthesia choice of the spine fractures with the multi-fractures of ribs should be based on the real condition of each patient. The key point is the administration of the function of respiration
出处
《实用骨科杂志》
2002年第6期475-476,共2页
Journal of Practical Orthopaedics
关键词
脊柱骨折
多发肋骨骨折
麻醉
并发症
Spine fracture
Anesthesia
Hemothorax or pneumothorax
