麻醉课件：急性阿片类药物耐受.pptVIP

急性阿片类药物耐受Acute Opioids Tolerance;概念;背景;特点;特点;表现; Desflurane Remifentanil 主诉疼痛(%) 20-30 40-60* PCA开始(h) 3.5 2.5 PACU吗啡(mg) 10.5 17* 24小时吗啡(mg) 32 59* Intraoperative Remifentanil Increase Postoperative Pain and Morphine Requirement Guignard B et al. Anesthesiology, 2000;93:409-417;机制;谢谢！