论文部分内容阅读
得普利麻用于人工流产术具有诱导迅速、苏醒快且彻底等优点,但其镇痛不全,对呼吸、循环的抑制作用与用药剂量具有明显的相关性。我们以2mg/kg,30 -50秒内,静脉注入得得普利麻-芬太尼合剂,应用于人工流产麻醉的效果观察,对呼吸、循环的影响以及并发症处理。术中SPO2一过性下降于90%者,占48%, 可自行恢复。3例低于70%,经面罩吸氧即恢复正常。对于得普利麻与芬太尼的给药时间我们观察到两者间隔应大于3-5min为好,3例SPO2低于70%,是在 1min内完成所致。此组病例优良率为100%。均于术后30-40分钟离院无不良反应。
The use of diprivan for abortion has the advantages of rapid induction, rapid recovery and complete recovery. However, its analgesic insufficiency and the inhibition of respiration and circulation are obviously related to the dose of the drug. We use 2mg / kg, 30 -50 seconds, intravenous injection of propofol - fentanyl mixture, applied to the effect of abortion anesthesia, respiratory, circulatory effects and complications. Intraoperative SPO2 transient decreased 90%, accounting for 48%, can be self-healing. 3 cases less than 70%, the oxygen mask that returned to normal. For diprivan and fentanyl administration time we observed that the interval should be greater than 3-5min for the better, three SPO2 less than 70%, is completed within 1min. Excellent rate of this group of patients was 100%. 30-40 minutes after surgery were no adverse reactions from the hospital.