椎管内麻醉的并发症和处理(国外英文资料).doc

椎管内麻醉的并发症和处理(国外英文资料) Complications and management of intraspinal anesthesia.Txt Anesthesia (CSEA) is the use of spinal anesthesia and epidural anesthesia features, Improved anesthesia, increased operating skills and increased complications, Professor Luo Ailun said, could not simply The idea of combined spinal epidural anesthesia is epidural block on the basis of lumbar anesthesia. My understanding is that all anesthesia techniques are There are certain risks, and the combined use of the two anesthesia techniques increases the complexity, difficulty and risk of anesthesia management The standard of anesthetic effect was determined by anesthesia and complications, and the complications of CSEA occurred at the time of anesthesia Danger must exist. W In the early 90s, there were reports of clinical applications of CSEA. With the emergence of needle method of puncture, it was popularized at home and abroad With the gradual increase of sound, it has become the first anesthetic method for lower abdominal and lower limb surgery in some countries, and it has been reported in recent years in China Peking University, Professor Wu Xinmin has accounted for 20% of the total anesthesia, if you do not consider the neurological complications of CSEA is. All of the serious fatal complication after all rare, due to neurological complications caused by multiple factors, the anesthesiologist still have to It has the duty to explain the advantages and disadvantages of anesthesia for the patients and their families, and select the most suitable anesthesia method for the patient. First, the advantages of CSEA (I) characteristics of lumbar spinal anesthesia; Advantages: the lumbosacral nerve block is sufficient; the motor nerve block is complete; the local anesthetic dose is small. Disadvantages: the upper bound plane is difficult to control; long time operation is difficult to satisfy; the incidence of hypotension is higher; the postoperative town can not be operated The pain. W (two) cha