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麻醉手术后低氧血症的防治 被引量:11

Prevention and Treatment of Narcotic Postoperative Hypoxemia
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摘要 术后低氧血症是麻醉手术后患者早期最常见的并发症之一。术后低氧血症的发生可能涉及的因素:术前因素包括年龄、吸烟、肥胖以及术前心肺功能障碍等;术中因素包括麻醉中高浓度吸氧、术中输液和输血过量等;术后因素包括术后伤口疼痛、胸廓运动受限、气道不畅和机体氧耗增加等。术后低氧血症对患者心、肺、脑等重要器官有很大的临床副效应,并可导致严重的围术期意外发生,有效的预跨并及时发现和处理是将低氧血症的发生率及风险减少到最低限度的关键。 The postoperative hypoxemia is one of the most eommon complications in early surgery patients. The occur of postoperative hypoxemia may involve many factors: preoperative factors include age, smoking, obesity and cardiopulmonary function barrier ect; intraoperative factors include high oxygen concentration,liquid or blood transfusions excess in anesthesia ; postoperative factors include pain, chest gallery activity limited, airway obstructed and oxygen consumption increased etc. Postoperative hypoxemia has large side clinical effect on vital organs such as the heart,lungs and brain,even causes serious accident perioperative period. Effective prevention, timely detection and treatment are the key to minimize hypoxemia incidence and risk.
作者 赵崇法
出处 《医学综述》 2009年第5期769-771,共3页 Medical Recapitulate
关键词 麻醉 术后低氧血症 预防低氧血症 氧疗 Anesthesia Postoperative hypoxemia Prevention hypoxemia Oxygen therapy
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