摘要
目的 :评价慢性阻塞性肺疾病合并呼吸衰竭气管插管前后心血管反应。方法 :50例慢性阻塞性肺疾病合并呼吸衰竭在清醒状态下接受气管插管。随机分为A、B两组 ,各 2 5例。分别接受 2 %利多卡因表面麻醉和异丙酚 -氯胺酮麻醉。结果 :表面异丙酚 -氯胺酮麻醉能满意地抑制慢性阻塞性肺病合并呼吸衰竭清醒患者在气管插管时的升压反应并且能减少并发症。结论 :亚麻醉剂量异丙酚 -氯胺酮能有效地预防和治疗慢性阻塞性肺疾病在清醒状态下插管反应。
Objective:To evaluate cardiovascular reactions between groups of before and after trachea intubation.Methods:Fifty patients with chronic obstructive disease of lung (COPD) complicating with respiration exhaustion needed to be intubated in lucid state.The patients were randomly divided into group A by 2% lidocaine surface anesthesia and group B by diprivan-Retanmine intravenous anesthesia,with twenty five cases in either group.Results:Subanesthetic diprivan-ketamine can contently inhibit the hemopiesic reaction of trachea intabation of COPD complicating with respiration exhaustion in lucid state and reduce complications.Conclusions:Subanesthetic diprivan-ketamine intravenous anesthesia is effective to prevent and treat trachea intubating reaction of chronic obstructive disease of lung complicating with respiration exhaustion in lucid state.
出处
《中国冶金工业医学杂志》
2002年第1期9-10,共2页
Chinese Medical Journal of Metallurgical industry
