腹腔镜手术麻醉的体会（Experience of anesthesia in laparoscopic surgery）.docVIP

腹腔镜手术麻醉的体会（Experience of anesthesia in laparoscopic surgery） Clinical experience Experience of anesthesia in laparoscopic surgery Laparoscopic surgery has the advantages of less trauma, quicker recovery, less postoperative pain and hospitalization It is not only in the field of Obstetrics and Gynecology, but also because of its short time and relatively low cost Widely used, it has gradually extended to general surgery, Department of hepatobiliary surgery, chest Surgery and other fields. But there are complications associated with it, especially hemp Drunken accidents and deaths still smell. Our hospital has been abdominal since 2000 Endoscopic surgery, anesthesia experience will be summarized as follows: 1 Selection of anesthesia In the commonly used anesthesia methods, local anesthesia is simple and easy to operate, but It is a pathophysiological change in which the patient cannot tolerate increased intra-abdominal pressure And, in a psychological way, the fear of laparoscopic surgery. In addition, because the abdominal muscles do not relax, the intra abdominal space is relatively small, affecting Operation of operator. Although spinal anesthesia can achieve pain free and certain muscles Meat relaxation effect, but the patient still can not tolerate intra-abdominal pressure increased on the human body Discomfort caused. In addition, after the sympathetic nervous system is blocked, the visceral vagus is removed The nervous system is relatively hyperactive, and the traction reaction during the operation is relatively aggravating, and the heart The incidence of mild nausea and vomiting increased. Not because of muscle laxity It also affects the operation of the surgeon. General anesthesia is relatively safer, the patient Comfortable, relaxed muscles, easy to operate. Therefore, in possession of The appropriate equipment, narcotic drugs and experienced anesthesiologists In case of laparoscopic surgery, the choice of general anesthesia is appropriate. Monitoring and ma