全身麻醉并發(fā)癥的防治共77張課件

1、全身麻醉并發(fā)癥的防治Evaluauon onr.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L全身麻醉并發(fā)癥的防治目的與要求掌握:舌后墜、呼吸道異物、嘔吐、返流和誤吸麻醉器械堵塞、氣管受壓、呼吸道痙攣等常見的呼吸道梗阻的發(fā)生原因、臨床表現(xiàn)和處理;全身麻醉期間發(fā)生低血壓和高血壓的常見原因及其防治熟悉:全身麻醉期間心肌缺血的原因、診斷方法及防治:全身麻醉期間術(shù)中知曉和蘇醒延遲的

2、預(yù)防和處理了解:中樞性、外周性呼吸抑制的原因、臨床表現(xiàn)預(yù)防和處理:全身麻醉期間體溫升髙或降低、惡性高熱的原因、預(yù)防和處理:咳嗽、呃逆、術(shù)后嘔吐、術(shù)后肺感染的原因及防治Evaluauon onr.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L目的與要求概論全身麻醉是現(xiàn)代麻醉的主要方法。與其它麻醉方法相比,全身麻醉具有適用范國廣、病人舒適,安全性高的優(yōu)點(diǎn)。特別是對于復(fù)雜、疑難手

3、術(shù),全身麻醉更是不可替代的麻醉方法。Evaluauon onr.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L概論概論全身麻醉對麻醉和監(jiān)護(hù)設(shè)備的要求較高、特別是對施行麻醉人員的技術(shù)水平要求較高,如無相應(yīng)的技術(shù)水平和設(shè)音條件則全身麻醉的并發(fā)癥明顯高于其它麻醉方法,以至于長期以來形成了一種錯(cuò)誤的概念,即全身麻醉要比局麻或椎管內(nèi)麻醉危險(xiǎn)的多,這種觀念大大阻礙了全身麻醉的普遍開展E

4、valuauon onr.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L概論全身麻醉流程進(jìn)手術(shù)室丶監(jiān)護(hù)誘導(dǎo)氣管插管蘇酲拔管。麻醉消退麻醉維持Evaluauon onr.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71

5、Copyright 2019-2019Aspose Pty L全身麻醉流程吸系統(tǒng)并發(fā)癥Evaluauon onr.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L吸系統(tǒng)并發(fā)癥呼級系統(tǒng)并癥的防治由于呼吸抑制或由于與呼吸有關(guān)的問題而引起的麻醉并發(fā)癥占總的麻醉并發(fā)癥的70%,而其中又有40%70%導(dǎo)致病人死亡或致殘。由此可見防治呼吸系統(tǒng)并發(fā)癥之重要Evaluauon onr.ch

6、Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L呼級系統(tǒng)并癥的防治第一節(jié)呼吸道梗阻舌后墜分泌物、膿痰、血液、異物堵塞氣道反流和誤吸插管位置異常、管腔堵塞、麻醉機(jī)故障氣管受壓口咽腔炎性病變、喉腫物及過敏性喉頭水腫喉痙攣、支氣管痙攣Evaluauon onr.ch Asposeslides for NET 4o dient PEvaluation only.Created with A

7、spose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L第一節(jié)呼吸道梗阻舌后墜常見原因麻醉藥的殘留作用、短頸、肥胖處理方法頭側(cè)位、上托下頜、藥物拮抗、置放口咽或鼻咽通氣道Evaluauon onr.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L舌后墜二、分泌物、膿痰、血液、異物堵塞氣道常見

8、原因:吸入性麻醉藥刺激、肺部感染、肺結(jié)核、肺化膿癥、氣管內(nèi)異物、牙齒脫落物等處理方法:術(shù)前用藥應(yīng)給與足量的抗膽堿類藥物、堆濕肺病人冰給與雙腔支管插管、并且注意洗凈呼吸道分泌物或者血液等。Evaluauon onr.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L二、分泌物、膿痰、血液、異物堵塞氣道全身麻醉并發(fā)癥的防治共77張課件全身麻醉并發(fā)癥的防治共77張課件全身麻醉并發(fā)癥的

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