135 patients involved in the treatment of advanced

ncycgdxhl · Wysłany: Wto 0:26, 15 Mar 2011

135 patients involved in the treatment of advanced gastric cancer

; Society, 1997.1022 Wang Xinhua, Sun Xigang, FILLED and so on. Arterial infusion chemotherapy of advanced gastric cancer in 54 cases. Interventional Radiology,[link widoczny dla zalogowanych], 2002,11 (2): 1293 Li Mao whole, Lin expensive, Wang Xiaolin and so on. Advanced gastric cancer with combined intra-arterial infusion of embolization. Interventional Radiology, 1992, (1): 37 students fall reactor parameters of SVM-based chalk Khon 1 (Total 542) 4 on the Tian Ying II. Arterial infusion of anticancer therapy on vascular effects of basic research (Bai Zhenming translation). International Journal of Clinical Radiology Volume, 1990,13 (1): 312 (editing and proofreading: Cheng Guozhou Received :2004 -06-11) gastroscopy under intravenous anesthesia with propofol 654 cases of Kaiyuan, Yunnan 661600 People's Liberation Army Hospital, 59 Wen Hou Wenfeng key Lvhuang Yong Lee words: intravenous anesthesia; gastroscopy; propofol Chinese Book Classification: R614.2, R5732003 years 1O months to June 2004, we propofol anesthesia in gastroscopy 654 cases, results were satisfactory. 1 1.1 General situation of clinical data in 654 cases, male 387 cases, 267 cases of women; age from 4 to 75 years, mean 42.6 years old. Propofol had no contraindications. 1.2 Methods Conventional endoscopy and anesthesia preparation, establishment of intravenous access, intravenous injection of atropine 0.5mg, nasal oxygen catheter, the patient ECG monitoring heart rate, respiration, blood pressure, oxygen saturation, instruct patient Yaozhu Ya pads, intravenous injection of propofol dose for adults 9O ~ 180mg, mean dose 120 ± 9.6mg; pediatric dose of 2.2mg/kg. To be patient to sleep, loss of eyelash reflex, respiration, heart rate, oxygen saturation stable, you can line gastroscopy. Gastroscopy, the attention to the patient the bottom of the throat and stomach, and if more of sputum and gastric juice, try to exhaust sputum and gastric juice, to prevent gastric reflux and airway mucus obstruction, intraoperative monitoring of respiration, heart rate, blood pressure, blood oxygen saturation, ECG electrocardiogram monitoring the situation; and observing patients after 30min, asked whether, after awakening, dizziness, drowsiness, sleepiness, sore throat discomfort, and patients feel the treatment process. 1.3 gastroscopy results were successfully completed, the average examination time was 2.6 ± 0.8min. Inspection process, the patients had no nausea, vomiting, frequent non-gastrointestinal motility, as compared with ordinary endoscopic mucosal clearly observed, the lesions missed less. Check after 3 ~ 8min wake, the average 5.4min. Awake patients have dizziness, sleepiness, drowsiness,[link widoczny dla zalogowanych], fatigue, blurred vision, dry mouth, etc., no memory of the entire inspection process; checked and in 5 cases (3 patients were older, two cases of obesity) had respiratory depression occurred by clear respiratory mucus, increased breathing after the oxygen flow rate, oxygen saturation then resumed; nausea,[link widoczny dla zalogowanych], vomiting, 13; headache in 4 cases, observation room, after 30min, in general, are good, pain-free endoscopy satisfied. 2 discussion gastroscopy without anesthesia, because of the strong throat endoscopy of stimulation, patients often have nausea, vomiting, and some patients have a strong fear of endoscopy, some patients self-extubated and spit out even the dental pad, resulting in endoscopic intubation failure or damage to endoscopy. Endoscopy of the throat as the stimulation, the patient nausea, vomiting, stomach and intestines often prone to cause lesions missed. Propofol is a new rapid short-acting anesthetics, which is characterized by rapid onset, short duration, recovery quickly and smoothly, adverse reactions, mainly in the liver metabolism, excretion by the kidneys L1], is applicable to the stomach without pain microscopic examination. This method avoids the suffering of patients do not fit well to complete the examination of patients, the lesions observed with satisfaction, reduce the rate of misdiagnosis. Since propofol can cause decreased blood pressure, heart rate, sometimes with a transient respiratory depression, the patient under anesthesia. Note: (1) from full-time anesthesiologist responsible for the operation; (2) monitoring patient heart rate, respiration, blood pressure and oxygen saturation; (3) exhaustion as sputum and gastric juice, sputum and gastric reflux to prevent airway obstruction; (4) the majority of patients fall after the base of the tongue, esophagus inlet closed, the entrance into the esophageal endoscopy than ordinary difficulty, endoscopy easy to insert on both sides of the pear-shaped hole, must be based on anatomical location, find out the delivery of esophageal entrance mirror,[link widoczny dla zalogowanych], if necessary When patients were transferred to the lens base of the tongue by an assistant to help get a mirror, non-violent movement and pharyngeal mucosal injury; (5) after routine suction, cleaning up the respiratory tract, to prevent aspiration pneumonia and airway obstruction; (6) prepare anesthesia laryngoscope,[link widoczny dla zalogowanych], endotracheal tube, breathing bag, and emergency medicine for timely rescue.