术后镇痛泵引起呼吸困难和肌痉挛3例 Postoperative analgesia pump causing dyspnea and muscle spasm: 3 cases 转载2008-8-1
- 来源:cfl
- 作者:cfl
- 更新日期:2019-07-09 08:33
- 点击:次
2008年7月31日我们做了1例双无手术,全麻加硬膜外麻醉,术后带上了止痛泵,术后30小时出现恐惧性呼吸困难,阵发性肌紧张,抽搐,全身乏力。马上吸氧,未能缓解,呼吸16次,无三凹征,血氧饱和度正常,心率104次/分,血压120/80mmHg,表现窘迫性呼吸困难征象
2008年7月31日我们做了1例“双无”手术,全麻加硬膜外麻醉,术后带上了止痛泵,术后30小时出现恐惧性呼吸困难,阵发性肌紧张,抽搐,全身乏力。马上吸氧,未能缓解,呼吸16次,无三凹征,血氧饱和度正常,心率104次/分,血压120/80mmHg,表现窘迫性呼吸困难征象。
On July 31, 2008, we did a case of "double absence" surgery, general anesthesia plus epidural anesthesia, pain relief pump after surgery, panic breathing difficulties, paroxysmal muscle tension, convulsions, and general weakness for 30 hours after surgery. Immediately absorbed oxygen, failed to ease, breathing 16 times, no three recesses, normal blood oxygen saturation, heart rate 104 times per minute, blood pressure 120/80 mmHg, showing signs of dyspnea.
立刻停用止痛泵,给与高糖和吸氧后逐渐缓解。刚刚处理好一个,2008年8月1日做的另一个“双无”,术后才6个小时,也出现了呼吸困难,觉得空气缺少,憋闷难忍,烦热不已,有了上例经验,立刻停用止痛泵,症状很快缓解。 2008年8月2日晚又有一例带泵角弓反张的,停泵后逐渐缓解。
Stop the pain pump immediately and gradually ease after giving high sugar and oxygen absorption. Just dealt with one, August 1, 2008, another "double nothing", only 6 hours after the surgery, but also difficult to breathe, feel the lack of air, unbearable, irritated, with the above example experience, immediately Stop the pain pump, symptoms quickly ease. On the evening of August 2, 2008, there was another case with a pump angle bow, which gradually eased after stopping the pump.
讨论:止痛泵内药物有利多卡因和吗啡等药物,可能是吗啡的副作用,抑制了呼吸中枢,加上平面较高,导致呼吸肌运动障碍,呼吸困难。处理是停用痛泵,重者给与阿托品等对抗,特别重的应该上呼吸机,如果误诊会很危险。
Discussion: analgesics in the pump, which may be a side effect of morphine, may inhibit the respiratory center, plus the higher plane, leading to dyspnea and difficulty in breathing. The treatment is to stop the pain pump, and the heavy ones are given to confrontation with atropine, etc.. The special weight should be on the ventilator, and it will be dangerous if misdiagnosed.
预防:不要放吗啡和新斯的明等,而且平面低一些为好。
Precautions: do not put morphine and Xinfen, and lower plane is better.
看完还想再了解一下,请加站长微信xjatrsa 即刻沟通!本文禁用于商业用途,转载需注名出处,否则追究法律责任!
- 相关文章
- ·天天连续做爱精子质量不下降反而利于受孕 It's be
- ·脱肛 腹腔镜‘提裤子’疗法 Laparoscopic 'panty-
- ·豁唇被四维 被狙击 The lip was attacked by the
- ·精索静脉曲张 腹腔镜手术好Varicocele laparoscop
- ·双角子宫融合后不再流产 Double Angle Uterus Fus
- ·石女为什么也有分泌物 Why does Stone Girl have
- ·亲子鉴定 救了龙凤胎The paternity test saved th
- ·安太,用承诺和仁心温暖世道 An Tai, use commitm
- ·不撞南墙不回头 再孕又是胎停育 Don't hit the So
- ·宫颈埋箍狙击晚期流产 Cervical collar attack la
- ·赤峰大学医学院院长瑞云来安太考察 Ruiyun, Dean
- ·阴道闭锁的安太疗法Anther therapy for vaginal a
- ·无阴道有子宫的单纯阴道闭锁 子宫切除不应该 A si
- ·先天无阴道 有子宫,人工子宫脱垂阴道成型的安太
- ·LUF 差点被误诊为卵巢癌 LUF was almost misdiagn
- ·辛苦的磨刀人 Hard Grinder 2008-9-20
- ·首例孕后宫颈埋箍在安太完成 After the first pre
- ·胎盘早剥 Prolonged placental abruption 2008-9-