脑血管病介入栓塞术的全麻管理

J4 ›› 2012, Vol. 11 ›› Issue (9): 67-69.

脑血管病介入栓塞术的全麻管理

目的：总结脑血管病介入栓塞术的全醉管理方法。方法：回顾性分析16例脑血管病人的麻醉管理，并结合文献进行讨论。
结果：16患者麻醉过程中循环平稳，3例Hunt-Hess 3~4级患者保留气管导管送ICU，11例患者术毕10分钟内自主呼吸恢复满意且呼之睁眼，顺利拔管；2例喉罩通气患者术毕即刻拔除喉罩。13例拔管（喉罩）患者均于15 min内定向力恢复。结论：完善的麻醉前评估和准备，使用短效的麻醉药物，Hunt-Hess 1~2级患者采用喉罩通气，可满足术中血流动力学平稳，术毕快速、平稳苏醒，早期进行神经功能检查的需求。

西双版纳州人民医院，云南景洪 666100

收稿日期:2012-05-07 出版日期:2012-09-15 发布日期:2012-09-15
作者简介:刘文佩，主治医师，主要从事介入手术麻醉，小儿麻醉研究.

Management of General Anesthesia in Interventional Embolization Therapy in Cerebrovascular Disease

People's Hospital of Xishuangbanna Prefecture, Jinghong, Yunnan 666100, China

Received:2012-05-07 Online:2012-09-15 Published:2012-09-15

摘要/Abstract

摘要：

关键词: 脑血管病, 全身麻醉, 介入栓塞术

Abstract:

Objective: To summarize the general anesthesia management in interventional embolization therapy in cerebrovascular
disease. Methods: Sixteen cases of cerebrovascular disease accepted general anesthesia were analyzed retrospectively, and the related literature was reviewed. Results: Sixteen cases were stable in haemodynamics during anesthetic process. Three cases of Hunt-Hess class 3-4 were nursed in ICU with endotracheal tube treatment after surgery. Eleven cases with spontaneous respiration and opened eyes in ten minutes after surgery were extubated successfully. Two cases treated with laryngeal mask airway (LMA) were removed immediately after surgery. All 13 patients who had been removed intubation/LMA were orientation recovery in fifteen minutes after surgery. Conclusion: Perfect evaluation and preparation before anesthesia, short-acting anesthetics, LMA application in Hunt-Hess class1-2 patients could ensure haemodynamics steady during surgery, patients could be recovery rapidly and smoothly after surgery,and capable to conduct early neurological assessment.

Key words: cerebrovascular disease, general anesthesia, interventional embolization

中图分类号:

R614

刘文佩. 脑血管病介入栓塞术的全麻管理[J]. J4, 2012, 11(9): 67-69.

LIU Wen-Pei. Management of General Anesthesia in Interventional Embolization Therapy in Cerebrovascular Disease[J]. J4, 2012, 11(9): 67-69.