High-risk patients aged 86 cases of prostatectomy

px215467

,[link widoczny dla zalogowanych]
High-risk patients aged 86 cases of prostatectomy Anesthesia

~ 10min after the injection of the mixture of liquid pipe split 4 ~ 12ml, with acupuncture method block plane. Of diabetes mellitus patients, intraoperative blood glucose according to the situation to the insulin, patients with hypertension were given in the case under the pressure of nitroglycerin infusion. 2 Results The systolic blood pressure decreased after the first injection 5kpa (1kpa = 7.5mmHg) in 21 cases, accounting for 24%, of which 5 cases of systolic blood pressure dropped to 8kpa the following, the use of vasopressors and blood pressure to rise gradually to accelerate the infusion speed to the normal range. Complete block in all cases. Lower bound upper bound of anesthesia 1r6 S. 80% of patients blood pressure dropped more than 6Kpa, 7 heart rate to 60. Anin below, by the use of ephedrine, atropine could return to normal after treatment, only 5 cases boost dopamine drip. Occasional premature ventricular contractions in patients 11 patients, atrial premature beats in 7 cases, all go away. 3 to discuss the choice of anesthesia is very important. Although epidural anesthesia has many advantages, but not ideal for the elderly critically ill patients [】]. 86 patients in this group after the first administration accounted for 24% drop in blood pressure, intraoperative hypotension accounted for 80%, treatment is more complex, suggesting a particularly high-risk patients and cardiac conduction system in patients inhibition may have adverse consequences. High-risk patients before surgery complicated by a variety of diseases and dysfunction of important organs, the group of 86 patients with preoperative combined (continued on page 88) [Received Date] 2004-09-08 [Author] Yinguang Fen (1970 -) , F (Bai), Dali people, physician, mainly in General Medicine Anesthesia Research Section l9 of Natural Science tame 0ocz wide mouth ccz o1 a,, m ∞ a - Dali College potential, the use of ergonomic principles, to maintain The maximum stability of human balance and avoid unnecessary damage. Such as: carrying heavy loads, should squat and make weight as close to the midline of the body to reduce the resistance arm, to avoid excessive tension and low back muscle damage. 4 Experience of surgical treatment of lumbar discectomy for the 156 cases, a significant effect, no complications occurred. 156 cases from the clinical observation of postoperative patients appreciate the care, good preoperative and postoperative care, early functional exercises guide the patient properly, especially the passive straight leg raising campaign to promote the body's blood circulation nerve root, nerve root inflammation Early reaction subsided, to avoid the nerve root in the local tissue adhesive in the repair process is the key to early recovery of patients. At the same time to do basic nursing, care and prevention of complications and promote early rehabilitation of patients is significant. [
,],[