Qhov twg yog qhov tshuaj loog rau gastrectomy

Generally, the method of single spinal anesthesia (often referred to as "half anesthesia") is rarely used for gastrectomy. Generally, general anesthesia is usually used. Of course, general anesthesia combined with spinal anesthesia is also used. . If half anesthesia is used, it is mostly combined spinal and epidural anesthesia.

Combined spinal-epidural anesthesia siv cov yam ntxwv ntawm tus txha caj qaum anesthesia thiab epidural anesthesia los txhim kho cov nyhuv tshuaj loog thiab nce qib kev ua haujlwm. Nws nqa mus rau qhov zoo thiab qhov muaj zog ntawm ob, thiab ua rau qhov tsis txaus thiab qhov tsis zoo ntawm ob.

Qhov zoo thiab cov txiaj ntsig ntawm kev ua ke epidural tshuaj loog:

Rapid onset of action; exact effect; unlimited anesthesia time; small amount of local anesthetic; low incidence of local anesthetic poisoning; postoperative epidural analgesia; true spinal anesthesia "non-contact" technique.

Cov kauj ruam:

1. Muab tus neeg mob tso rau hauv tib txoj hauj lwm raws li tus txha caj qaum

2. Siv L2-3 lossis L3-4 rau qhov taw tes.

3. Txoj kev xuas nrig ntaus

Kev ua haujlwm aseptic yuav tsum tau ua tib yam li cov tshuaj loog txha caj qaum lossis epidural thaiv. Tom qab ua tiav cov kab mob epidural puncture, 25G lumbar puncture koob tau muab tso rau hauv rab koob nrog lub koob epidural raws li cov lus qhia, dhau los ntawm qhov chaw nres nkoj epidural, punctured arachnoid, thiab tshem tawm ntawm rab koob, thiab cov kua cerebrospinal tau pom ntws tawm ntawm koob. Randomly txhaj tshuaj 2-3ml hauv zos tshuaj loog rau tus txha caj qaum, tshem tawm ntawm lub lumbar puncture koob, ntxig ib tug catheter epidural los ntawm lub epidural koob (3cm los ntawm lub koob chaw nres nkoj), tshem tawm ntawm lub epidural puncture koob, npog lub puncture point nrog sterile gauze, thiab kho lub catheter. Tom qab pab tus neeg mob tig mus pw ntawm nws nraub qaum, ntsuas qib ntawm cov leeg txha caj qaum. Txhaj 3-5ml ntawm cov tshuaj loog hauv zos los ntawm lub catheter epidural. Tom qab 5 feeb, tsis muaj qhov cim qhia ntawm qib siab thaiv, thiab kev ua haujlwm tuaj yeem pib. Thaum lub sijhawm ua haujlwm, qhov tsim nyog ntawm cov tshuaj loog hauv zos tau txhaj los ntawm epidural catheter raws li xav tau los tswj cov tshuaj loog.

Yog tias koj muaj lus nug, thov hu rau peb. Peb lub tuam txhab tuaj yeem tsim ntau yam koob txhaj tshuaj, koob tshuaj kho mob, koob txhaj tshuaj, koob tshuaj hypodermic, koob txhaj tshuaj, koob tshuaj tiv thaiv kab mob, koob txhaj tshuaj, koob txhaj tshuaj, koob tshuaj tua tsiaj, koob xaum koob, koob ovum khaws koob, koob txhaj tshuaj, thiab lwm yam Yog tias koj xav tau kev kho. koob cov khoom, thov hu rau peb. Peb tos ntsoov rau koj qhov kev nug! Qhov zoo ntawm cov khoom tsim nyob rau hauv peb lub Hoobkas yuav txaus siab rau koj!

Thov hu rau peb yog tias koj xav tau: zhang@sz-manners.com