zyzmc2010 发表于 2011-1-1 19:34:44

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

赌神 发表于 2011-1-2 17:31:57

只有小手术,没有小麻醉
Only minor surgery, anesthesia is not small

从我老师那里得到的,他是从他老师那里听到的

salaza 发表于 2011-1-4 21:18:37

42 articles on the ADRs of propofol were found and they involved 1 350 cases of propofol-induced ADRs. On the basis of analysis, it is suggested that the cardiovascular ADRs caused by the intravenous application of propofol were significant, especially in the elderly, children and patients with heart diseases and no obvious effect on the functions of liver and kidney were reported.
收集报道42篇,病例1350例,通过分析认为异丙酚静脉麻醉引起的心血管不良反应明显,特别是老年人、小儿、心脏病患者尤为显著。结论:从文献分析的角度,认为异丙酚静脉麻醉心血管不良反应明显,而未见其对肝肾功能有明显影响的报道。

ysmzwhl 发表于 2011-1-6 09:39:21

The state of genneral anaesthesia has three basic components the triad of hypnosis, analgesia, and muscle relaxation.
    全身麻醉有三个基本组成部分:即催眠、无痛和肌肉松弛三合一。
   出处:麻醉新概念

huxuefang1025 发表于 2011-1-7 21:27:27

The key for treating TURS is to use hypertonic solution of natrium and dehydration properly.
迅速利尿脱水并补充高张钠是治疗TURS的关键。——临床麻醉学杂志

zhdg1979 发表于 2011-1-9 10:25:46

本帖最后由 shenxiu2 于 2011-1-9 12:44 编辑

Spinal puncture should be performedcautiously at L2,3. CT or MRI is recommended before operation for the patients to locate the position of conus medullaris and avoid injury to the spinal cord.
常规临床采用L2,3间隙进行蛛网膜下腔穿刺时应慎重,建议腰麻病人术前应该作CT或MRI确定脊髓圆锥位置,以避免蛛网膜下腔穿刺时损伤脊髓。
摘自中华麻醉学杂志2010年6月《成人脊髓圆锥的位置》

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zhaoyaling 发表于 2011-1-12 17:37:07

Pre-synaptic activation of α2-adrenoceptors in sympathetic nerve endings
and noradrenergic neurons leads to inhibition of norepinephrine release.
α2 -肾上腺素能受体激动药作用于交感神经末梢和去甲肾上腺素能神经元可抑
制去甲肾上腺素的释放。
出自British Medical Bulletin 2005;71

白色巨塔 发表于 2011-1-12 19:52:05

The fundamental pharmacokinetic processes are dilution into volumes of distribution and clearance. These processes are governed by the physical properties of the drug and the metabolic capacity of the patient. Anesthetic drugs tend to be highly bound to protein in plasma and highly bound to lipid in peripheral tissues. Most anesthetic drugs are metabolized in the liver.
药代动力学的基本过程分为分配和清除量稀释。这些过程都受药物的物理特性和病人的代谢能力。麻醉药品往往是高度肯定的血浆蛋白和高度的约束外周组织的脂质。大多数麻醉药物在肝脏代谢。

look123321 发表于 2011-1-18 23:50:54

本帖最后由 shenxiu2 于 2011-2-18 21:38 编辑

目的 探讨口腔局麻注射进针点涂抹利多卡因凝胶对老年人的影响
Objective To investigate oral local anesthesia injected into the pin-point application of lidocaine gel on the impact of the elderly

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look123321 发表于 2011-1-18 23:52:15

方法 将84例需要口腔局麻注射的老年患者随机分为2组,每组各42例,实验组在注射进针点涂抹利多卡因凝胶粘膜麻醉后再注射麻醉,对照组直接注射麻醉,分别对注射进针时疼痛程度及麻醉注射前后血压、心率的变化进行比较。结果 两组注射进针时疼痛差别有统计学意义(p<0.05),麻醉后血压变化差别有统计学意义(p<0.05),心率变化差别无统计学意义(p>0.05)。结论 口腔局麻注射进针点涂抹利多卡因凝胶能减轻注射进针时的刺痛,有助于消除老年人对麻醉注射产生的恐惧心理,预防治疗中血压的升高,是一种经济实用、简单方便的口腔局麻方法。

Methods 84 cases of oral local anesthesia injections need for elderly patients were randomly divided into 2 groups, each of the 42 cases, the experimental group injected into the acupuncture points in the lidocaine gel applied after submucosal injection of narcotic anesthesia, direct injection of narcotic control group, respectively, when injected into the needle and the narcotic pain before and after injection of blood pressure, heart rate changes were compared. The results of the two groups when the pain needle injection into the differences were statistically significant (p <0.05), blood pressure changes after anesthesia were statistically significant differences (p <0.05), heart rate was no significant difference (p> 0.05). Conclusion of oral local anesthesia injected into the pin-point application of lidocaine gel injection can reduce the sting when the needle, the elderly contribute to the elimination of narcotic injection for fear generated to prevent the treatment of elevated blood pressure, is an economic practical, simple and convenient method of oral local anesthesia.
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