腹腔内巨大肿瘤摘除手术麻醉的临床分析

摘要

目的：对腹腔内巨大肿瘤摘除手术中的麻醉方法进行分析。方法：选取2007年4月-2014年10月我院收治的腹腔内巨大肿瘤患者80例，随机分为两组，硬膜外麻醉组患者40例，采用连续硬膜外麻醉或是腰硬联合麻醉；全麻组患者40例，应用气管插管全身麻醉，对两组患者的临床麻醉效果进行分析。结果：全麻组患者麻醉后各项生命体征与麻醉前和硬膜外组患者比较存在显著性差异（P<0.05）。全麻组患者手术操作时间、麻醉成功比例、手术出血量、仰卧位低血压发生比例、心衰发生比例、肺水肿发生比例、手术输液量、水电解质紊乱、心电图异常发生比例等对比硬膜外组患者均存在显著性差异（ P<0.05）。两组患者均没有死亡病例，成功治愈出院。结论：对于腹腔巨大肿瘤患者适宜采用气管插管全身麻醉，可减少对于患者各项生命体征的影响，减少麻醉合并症的发生、缩短麻醉操作和手术时间、降低手术出血量，更好的维持水电解质水平。%Objective:To study the effect of anesthesia for intra-abdominal huge tumor removal surgery. Meth-ods:Patients with abdominal huge tumor 80 cases were randomly divided into two groups,40 cases of epidural group to use continuous epidural anesthesia or epidural anesthesia,anesthesia group 40 patients to use general anesthesia. Re-sults:In anesthesia group,operative time,the proportion of successful anesthesia,surgical bleeding,supine hypotension proportion,the proportion of heart failure,pulmonary edema proportion,surgical fluid volume,water and electrolyte im-balance,ECG abnormalities were better(P<0. 05). Conclusion:For patients with celiac huge tumor appropriateness of using general anesthesia,patients can reduce the vital signs of the impact and reduce the incidence of complications of anesthesia,shorten the time and reduce blood loss,better maintenance of water electrolyte imbalance,increase the proportion of successful anesthesia.