鼻內鏡手術圍術期處理(附228例報告)
圍術期;鼻內鏡手術;全身麻醉;靜脈鎮(zhèn)痛,,],圍術期;鼻內鏡手術;全身麻醉;靜脈鎮(zhèn)痛,[關鍵詞]圍術期;鼻內鏡手術;全身麻醉;靜脈鎮(zhèn)痛,1資料與方法,2結果,3討論,[參考文獻]
[摘要] 目的 探討以手術為中心的圍術期對慢性鼻竇炎、鼻息肉所進行的一系列用藥策略及處理手段。方法 對228例鼻內鏡手術的患者行圍術期的系統(tǒng)處理,包括藥物選擇、麻醉方式、術后靜脈鎮(zhèn)痛、術腔清理等。結果 所有患者均未出現嚴重并發(fā)癥,明顯減輕術后患者疼痛不適,安全度過圍術期。結論 通過圍術期用藥和麻醉方法選擇及術后靜脈鎮(zhèn)痛等利于術者更徹底和從容的處理病變,避免患者由于緊張和全身合并癥帶來的潛在危險,獲得良好的治療效果。[關鍵詞] 圍術期;鼻內鏡手術;全身麻醉;靜脈鎮(zhèn)痛
Perioperative treatment of 28 cases with the nasal endoscopic operation
YAN Ping,YANG Shi-quan,MA Yi-jing,et al.
Department of Otolaryngology,Dahua Hospital,Xuhui District,Shanghai 200237,China
[Abstract] Objective To investigate a series of the medicine strategies and treatment methods for the chronic sinusitis and the nasal polyp in the period of perioperation.Methods 228 patients with nasal endoscopic operation patients were given systematic treatment including medicine choice,anaesthesia way,postoperative intravenous analgesia,the cleaning of operational cavity,and so forth.Results All patients had no serious complication and survived the period of perioperation,and the postoperative pain of the patients were obviously relieved.Conclusion During the period of periopertion medication,the anesthesia and postoperative analgesia made the operator to treat patients thoroughly and calmly,avoiding the patients’ tension and potential danger of systematic complications,so received sound treatment. ......
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