本帖最后由 shenxiu2 于 2010-4-18 19:30 编辑
Post-thoracotomy pain syndrome or PTPS (chronic post-thoracotomy pain or post-thoracotomy neuralgia) is defined by the International Association for the Study of Pain (IASP) as ‘pain that recurs or persists along a thoracotomy incision at least two months following the surgical procedure’. In general, it is burning and stabbing pain with dysesthesia and thus shares many features of neuropathic pain . PTPS is increasingly acknowledged by anesthesiologists and surgeons alike .
开胸术后疼痛综合症或PTPS（开胸术后慢性疼痛或开胸术后神经痛）：沿开胸切口持续或反复出现超过2个月的术后疼痛，一般伴有烧灼样或针刺样疼痛、感觉迟钝或具备神经源性痛的特征。开胸术后疼痛综合症逐渐被麻醉医生和外科医生所重视。
请点击首帖(主题帖)的"领取奖励" 领取你的奖励。----参宿2
回复 134# shenxiu2
谢谢指正，本人英语不是很好，需要努力学啊，
回复 136# mu1028long
大家一起学习乐趣多，比较持久。
回复 1# shenxiu2
Awake intubation using a flexible fiberoptic bronchoscope is
considered the method of choice for many anesthesiologists
faced with treating a cooperative patient with an anticipated
difficult airway.
对于预期存在困难气道而又配合的患者，用纤维支气管镜引导下清醒插管对于麻醉科医生来说是一个值得选择的方法。
Awake Fiberoptic Intubation Using an Optical Stylet in an
Anticipated Difficult Airway
Suction pressure to increase
心动过速
Tachycardia
低血压
Hypotension
低氧血症
Hypoxemia
颈静脉怒张
Jugular vein engorgement
呼吸音不对称
Asymmetric breath sounds
气管偏移
Tracheal deviation
纵隔移向健侧
Contralateral mediastinal shift
因临床上用的瑞芬太尼含有甘氨酸，故不能椎管内用药！
Because the clinical use of remifentanil with glycine, it is not spinal medicine.
Construction of CDH1 small interfering RNA enkaryotic vector ha rat immortalized neural progenitor cell and screening of the effective target site
大鼠永生化神经前体细胞CDH1小干扰RNA真核载体的构建
出处：中华麻醉学2008 Vol.28 Issue 10
本帖最后由 shenxiu2 于 2010-4-29 23:07 编辑
Whether the ventilator-induced lung injury (VILI) superimposed on
ischemia/reperfusion injury (I/R) causes synergistic damage has not been well explored.
机械性肺损伤和缺血再灌组是否有协同作用还没有被探究。
出处：Ventilator-induced lung injury (VILI) promotes
ischemia/reperfusion lung injury (I/R) and NF-kB
antibody attenuates both injuries
Chi-Huei Chianga,b,∗, Hsin-I Pai b, Shiou-Ling Liua
a Institute of Emergency and Critical Care Medicine, Medical School, National Yang-Ming University, Taipei, Taiwan
b Division of Pulmonary Immunology and Infectious Diseases, Chest Department, Taipei Veterans General Hospital, Taipei, Taiwan
Received 19 July 2007; received in revised form 24 December 2007; accepted 17 February 2008
请点击首帖(主题帖)的"领取奖励" 领取你的奖励。----参宿2
本帖最后由 shenxiu2 于 2010-5-5 09:46 编辑
与单纯麻醉相比，上腹部手术老年患者硬膜外复合全麻下乳酸钠林格氏液扩容效力强且血液稀释效果好
The efficacy of Ringer's solution for volume expansion was significantly higher when Ringer's solution was infused during epidural block combined general anesthesia than general anesthesia.
请点击首帖(主题帖)的"领取奖励" 领取你的奖励。----参宿2
围术期气道困难的识别与处理
1.identification and management of difficult airway during perioperative period
本帖最后由 shenxiu2 于 2010-5-10 12:04 编辑
1.Because of its irritating effect on humans, the use of phenol as a general antiseptic has been largely discontinued.
由于苯酚对人体带有刺激性作用，它基本上已不再被当作常用的防腐剂了。
2.Fungi are important in the process of decay, which returns ingredients to the soil, enhances soil fertility, and decomposes animal debris.
真菌在腐化过程中十分重要，而腐化过程将化学物质回馈于土壤，提高其肥力，并分解动物粪便。
3.The human skeleton consists of more than two hundred bones bound together by tough and relatively inelastic connective tissues called ligaments.
人类骨骼有二百多块骨头组成，这些骨头是由坚韧而相对缺乏弹性，被称为韧带的结蒂组连在一起。
Opioid are most frequantly given in the preoperative setting to relieve pain and occasionlly when the placement of extensive invasive monitoring device is planned.Morphine is the primary opioid used because it has both anallgesic and sedative properties.Used adult doses are 5 to 10 mg IM,60 to 90 minutes before come to the operating room.
阿片类药物经常在术前给药用以减轻或消除疼痛，有时也在使用有创监测装置时使用。
吗啡是主要的阿片药物，因为它同时有镇痛和镇静的作用。成人常用剂量为5到10mg在术前60到90分钟肌注。