guan yu waist - epidural anesthesia in transurethral resection of the application（关羽腰-硬膜外麻醉在经尿道的应用程序）.docVIP

Guan Yu waist - epidural anesthesia in transurethral resection of the application Author: Zhao Zhaohua He Yuming Zhao Jian Wen-li [Abstract] Objective in elderly patients in the transurethral resection in search of a more perfect method of anesthesia, while maintaining a relatively stable vital signs. METHODS hospital with spinal - epidural anesthesia in transurethral resection of the anesthetic management and process results back - and epidural anesthesia in transurethral resection of the anesthetic effect sound, vital signs remained relatively stable. Conclusion spinal - epidural anesthesia is more suitable for transurethral resection, should be widely applied . In recent years, minimally invasive surgery has become a trend, surgical subjects are trying to minimally invasive surgery, the direction of the traditional prostate surgery trauma, intraoperative and postoperative bleeding relative, recovery slow, so transurethral transurethral resection of prostate surgery (transurethral resection of prostate, TURP in the treatment of senile prostatic hyperplasia (hyperplasia of prostate, BPH surgery, because of less trauma, less postoperative bleeding, faster recovery and is held in high esteem. in our hospital from 2008 October to January 2011 between the waist - and epidural anesthesia for transurethral resection, 46 cases now reported anesthetic management and the process is as follows. 1 Materials and Methods 1.1 General information on male 46 patients, ASA1-3, aged 52-87 years old, weighing 49-86kg, were middle-aged patients with prostatic hyperplasia, transurethral resection of the prostate which associated with hypertension in 22 cases , 9 patients with diabetes, hypertension and diabetes associated with 3 cases, associated with chronic bronchitis in 6 patients. preoperative blood pressure is well controlled, non-acute chronic bronchitis, severe low blood volume and no serious anemia, Hbgt; 85g / L, surgical 45 minutes to 3 hours and 50 minu