论文部分内容阅读
在临床检查、手术及治疗中,经常使用局部麻醉剂,有时出现休克,其症状从轻症脑贫血到全身痉挛、呼吸困难,甚至呼吸心跳停止而死亡。作者在6年中用4％利多卡因喉头喷雾麻醉469人,4人发生中毒,占0.8％,讨论如下: 一、休克发生的机制: 除了药物对机体影响外还有手术等外因。休克是机体非特异症状,副肾功能不全给休克作了准备。二、症状: 1.中毒反应:中枢神经症状有初期不安、兴奋、多语、有时恶心呕吐,继之呼吸急迫、血压上升,再进展则四肢、面部震颤或全身痉挛,继之,呼吸肌强直,呼吸困难及紫绀,末期的中枢神经抑制有意志及反射消失、呼吸停止、血压
In the clinical examination, surgery and treatment, often using local anesthetics, and sometimes shock, the symptoms of mild brain anemia to convulsions, breathing difficulties, and even died of respiratory arrest and death. The authors anesthetize 469 people with 4% lidocaine laryngeal spray for 6 years, and 4 people are poisoned, accounting for 0.8%. The discussion is as follows: 1. Mechanism of shock: Apart from the influence of drugs on the body, there are external causes such as surgery. Shock is a non-specific symptoms of the body, vice kidney dysfunction to shock prepared. Second, the symptoms: 1. Poisoning reaction: central nervous symptoms are initially uneasy, excited, multilingual, nausea and vomiting, followed by respiratory irritation, blood pressure, and then the progress of the limbs, facial tremor or generalized spasm, followed by respiratory muscle rigidity , Dyspnea and cyanosis, end-stage central nervous depression with intention and reflex disappear, respiratory arrest, blood pressure