老年高血压患者上腹部手术的麻醉商量(国外英文资料).docVIP

老年高血压患者上腹部手术的麻醉探讨(国外英文资料) In particular, it is difficult to maintain the stability of the respiratory and circulatory functions in high plane hard membrane, and the function of pulmonary function is obvious. Obviously, its not a perfect anesthetic method for this type of patient to be used for abdominal surgery. Endotracheal intubation general anesthesia ensures sufficient oxygen supply for breathing management, but the increase in the secretion of catecholamine during anesthesia can cause severe cardiovascular reactions. In the elderly, especially cardiovascular diseases such as high blood pressure, serious complications can be caused. In addition, general anesthesia can inhibit the cerebral cortex limbic system or the hypothalamus in the brain cortex projection system, cannot be effectively blocking operation area damage sexual stimulation caused by the pituitary gland and adrenal medulla increased secretion of the hormone synthesis, even on a large dosage of intravenous anesthesia does not completely inhibit insert or pull out the endotracheal tube and surgical stimulation caused by the sympathetic stress reaction [3]. The results showed that general anesthesia compound epidural block anesthesia, blood pressure and heart rate during the process of operation, smooth pure general anesthesia group, general anesthetics and auxiliary medicine dosage decreased significantly, the operation end to awake and extubation time and the incidence of postoperative agitation is less than that of pure general anesthesia group. Shows that compound epidural block anesthesia can block the operation area of the afferent nerve and sympathetic nerve block in the area include sexual stimulation to the central conduction, reduce the pituitary gland and adrenal medulla secrete catecholamines, effectively reduce the stress response in the induction of general anesthesia and surgery, avoid sharp fluctuations in blood pressure, heart rate during anesthesia caused by increased cardiac work a