苯磺顺阿曲库铵用于急腹症合并心血管疾病手术麻醉效果评价.docVIP

苯磺顺阿曲库铵用于急腹症合并心血管疾病手术麻醉效果评价 　　摘要：目的 研究苯磺顺阿曲库铵对于急腹症伴发心血管疾病患者的临床麻醉效果。方法 选取于2013年5月～2015年7月，我院收治的急腹症伴发心血管疾病患者45例，进行静脉注射舒芬太尼诱导麻醉，所有患者给予苯磺顺阿曲库铵0.12 mg/kg，然后气管插管吸入七氟烷维持深度麻醉，监测患者手术前后及术中肌松效果、血压、心率波动变化，评价苯磺顺阿曲库铵的麻醉效果，并观察手术中患者呕吐并发症发生情况，术后对患者进行呼吸道感染进行诊断，判断其对患者造成的呼吸道感染不良反应。结果 所有患者的肌肉松弛持续时间较长，完全满足手术的顺利进行，手术后患者恢复较好，血压、心率以及血流动力学较平稳，维持在安全范围内。无呕吐并发症发生，出现呼吸道感染1例。结论 苯磺顺阿曲库铵用于急腹症伴发心血管疾病的临床手术治疗，是一种安全有效的肌松麻醉用药。 　　关键词：苯磺顺阿曲库铵；急腹症伴发心血管疾病；手术治疗 　　Evaluation of Anesthesia of Cis Atracurium Besylate for the Surgery on Acute Abdomen Merged with Cardiovascular Disease 　　SUN Hai-jing 　　（Department of Anesthesiology，The Third Peoples Hospital of Hubei Province，Wuhan 430033，Hubei，China） 　　Abstract：Objective To study the anesthetic effect of cis atracurium besylate for patients with acute abdomen complicated with cardiovascular disease. Methods 45 patients with acute abdomen complicated with cardiovascular disease were chosen during May 2013 and July 2015. All patients received 0.12 mg/kg cis atracurium besylate after the induction with sufentani， and then inhaled sevoflurane to maintain anesthesia. Monitoring the effectiveness of muscle relaxation， mean arterial blood pressure and heart rate to evaluate the anesthetic affect. Observed the complication of vomiting and the adverse reaction of respiratory tract infection. Results The muscle relaxant time is enough for the complication of the surgery and the fluctuation of mean arterial blood pressure and heart rate were small. No patient occurred vomiting and only one patient cheeked with respiratory inflection. Conclusion It is safe and effective muscle relaxant anesthetic agent of cis atracurium besylate for operation on patients with acute abdomen merged with cardiovascular disease. 　　Key words：Cis atracurium besylate；Acute abdomen merged with cardiovascular disease；Surgery 　　急腹?Y是临床表现为未知原因的急性腹痛为主，并需要紧急处理的腹部疾病群[1]，急腹症起病急且涉及面较广，患者入院后要及时根据患者疼痛特点、部位及伴随症状与体征，做出正确判断及采取相应治疗措施，以免危及患者生命。由于化验检查时间较长，体征判断准确率较低，所以为了把握患者的最佳诊治时机，外科急腹症的治疗方式的选择原则上应考虑急诊手术[