本帖最后由 阿童木 于 2013-3-18 21:42 编辑
外科医生治病,麻醉医生保命。
没有麻醉医生,外科医生就是屠夫。
The surgeon cures the diseases , and the anesthesiologist saves the lifes .
Without the anesthesiologists , the surgeons are butchers .
出处：熟知名言，自己翻译，不对之处，敬请指正！
回复 15# shenxiu2
bound是“结合”吧
Spinal & Epidural Blocks Spinal anesthesia is achieved by injecting a local anesthetic into the lumbar intrathecal space. This blocks the spinal nerve roots and dorsal root ganglia and probably also blocks the periphery of the spinal cord. Epidural anesthesia is accomplished by injecting a local anesthetic into the extradural （epidural） space. The epidural space is usually identified via the lumbar approach. The gastrointestinal tract is usually contracted with spinal and epidural anesthesia, facilitating exposure of the surgical site. 脊髓和硬膜外阻滞 将局麻药注射到腰部鞘内间隙可获得脊髓麻醉，阻滞了脊神经根和脊根神经节，可能也阻滞脊髓的外周部分。将局麻药注入硬膜外腔则产生硬膜外麻醉。一般通过腰部通路进入硬膜外腔。脊髓和硬膜外麻醉时胃肠道呈收缩状态有利于手术野暴露。
Spinal anesthesia in the patient's body temperature adjustment function is impaired,the sympathetic nerve block under the plane to a compensatory mechanism loss of vascular contraction to maintain body temperature.Chills.
脊麻中病人的体温调节功能受损，交感神经阻滞平面以下以血管收缩来保持体温的代偿机制丧失。寒战常见。
出自《麻省总医院临床麻醉手册》第八版298页。
“The key is the programme, not the hardware”
最关键的是有条理的计划，而不是先进的设备。
出自米勒麻醉学第七版第七页
Most anesthetic drugs are metabolized in the liver
大多数麻醉药物在肝脏代谢。
Data from patients with trauma or a ruptured abdominal aortic aneurysm suggest that higher fresh frozen plasma:red blood cell (FFP:RBC) ratios may contribute to better control of the lethal triad of acidosis, hypothermia, and coagulopathy, and ultimately lead to improved survival in severe hemorrhage.
通过研究创伤及腹主动脉瘤破裂大出血病人的数据，认为提高新鲜冰冻血浆与红细胞的输注比率可能使大出血致命三联征（即酸中毒、低体温、凝血功能障碍）得到更好的控制，从而提高术后大出血病人的生存率。
摘自Anesthesia and Analgesia
Malignant hyperthermia is ofen casued by a genentic defect in the sarcoplasmic reticulum of skeletal muscules.General anaesthesia tirggers an allergic reaction with sudden opening of Ca2+-channels in the muscle cells.
恶性高热通常是由骨骼肌肌浆网的一种遗传缺陷引起的。一般的麻醉就能使肌细胞上钙离子通道的突然开放从而触发变态反应。
Malignant hyperthermia is ofen casued by a genentic defect in the sarcoplasmic reticulum of skeletal muscules.General anaesthesia tirggers an allergic reaction with sudden opening of Ca2+-channels in the muscle cells.
恶性高热通常是由骨骼肌肌浆网的一种遗传缺陷引起的。一般的麻醉就能使肌细胞上钙离子通道的突然开放从而触发变态反应。
Optimal remifentanil dose for laryngeal mask airway insertion when co-administered with a single standard dose of propofol 合用单次标准剂量丙泊酚置入喉罩时瑞芬太尼的最佳剂量
Flumazenil should not be used routinely, but may be administered to antagonize respiratory depression and sedation in selected patients.
不应该常规使用氟马西尼，但对于特殊的患者可以用来拮抗呼吸抑制
来源于：Practice Guidelines for Postanesthetic Care 2013
The preoperative visit of all patients by an anesthetist is an essential requirement for the safe and successfulconduct of anesthesia. 麻醉医师术前访视所有手术病人对于麻醉的安全和成功是非常必要的。