Angelica Chuanxiong and mice alone and combined ab

e707004304 · Wysłany: Pon 23:22, 21 Mar 2011

Angelica Chuanxiong and mice alone and combined ability of the brain ischemic tolerance

03) A 04-009002d, JL facial and neck scar contracture is a common complication after burn in plastic surgery in a large proportion, especially in children under general anesthesia surgery, due to the special position, so the whole Ma careful and accurate observation of the recovery process and good care is to ensure patient safety, surgical success. Section 1O years now I have plastic surgery face and neck after anesthesia care and recovery process of observation and report as follows. 1 Clinical data of the 98 patients, male 63,[link widoczny dla zalogowanych], female 35 cases. Age 2-1O years old, 71 cases of the neck, face 27. 53 cases of skin grafting, Intubation anesthesia in 12 cases, 86 cases of ketamine intravenous anesthesia. Surgery in 2 cases of respiratory cardiac arrest,[link widoczny dla zalogowanych], suffocation cough in 12 cases, 3 cases of postoperative aspiration, the timely processing of patient no 1 patient died. 2 Characteristics and response to ketamine, ketamine can selectively block pain impulses to the thalamus and the cerebral cortex of the impulse, while excited about the network structure, and the limbic system, the brain was ① intubation anesthesia: respiratory depression after use of drugs, heart rate and blood pressure increase in the role. The side effects are nausea, vomiting, hallucinations, delirium. Ketamine anesthesia in the recovery process often diplopia, nystagmus, hallucinations and other symptoms. If mild symptoms, just keep quiet and fast time will be able to return to normal: symptoms and should be given a sedative, and pay close attention to changes in the circulatory system. Ketamine can be excited central vasoconstriction, increased sensitivity to sensory pressure, increased blood catecholamines, increased cardiac output causing increased blood pressure, abnormal pulse and rapid growth, it is measured after high blood pressure, pulse should be normal soon drug reactions, close observation without special treatment while the change. ② intravenous anesthesia: intravenous anesthesia department Combined effects of multiple drugs,[link widoczny dla zalogowanych], different effects of various drugs in the body and mutual collaboration and antagonistic, patient tolerance of individual differences and differences in the clinical course of the performance of emergence also varied . The group had 17 cases of such adverse reactions are caused by anesthesia; therefore, these intraoperative anesthesia and recovery period of observation and care should be more comprehensive, specific, to prevent serious complications and accidents. 3 3.1 Observation and nursing of postoperative complications observed abnormal breathing during anesthesia breathing observation is the focus of care, especially in the face and neck scar with a small mouth disease, narrow nose surgery in order to maintain airway patency and the use of oral or nasal intubation, intubation of the mucosal damage and can lead to prolonged intubation laryngeal edema. Within a few hours after extubation prone to hoarseness, throat of song,[link widoczny dla zalogowanych], breathing difficulties, such a situation occur to dexamethasone 10mg, gentamicin 240,000 , adhere to every 4-6h 24h in line 1 inhalation, the symptoms disappear. face and neck skin graft surgery after fierce pressure bandage and also need to limit activities, and some patients using catheter inserted into the nose in order to facilitate ventilation to keep catheter patency, to avoid clogging nasal secretions, pay attention to changes in breathing, if breathing close observation of the rules. Note that if the mouth secretions, the patient head to one side, in a timely manner with a suction aspiration of secretions. As awareness has not been restored, tongue muscle tension reduced or lost, the tongue falls first palate or pharyngeal wall cartilage, leading to the channel mouth and nasal obstruction, snoring sound when breathing, breath and other symptoms. You should try to jack up the lower jaw, head thrown back, hands and food, , the ring finger curling, jaw angle were placed in the corner, the patient lower jaw forward and hold up to the L, to hear the breath sounds smooth so far. 3.2 The process of emergence agitation agitation's performance has been mixed. There types of mechanical action of agitation only the performance of the limbs, is common during the performance of awakening, relatively short duration; another manic agitation is manifested, for these patients should take appropriate protective measures, plus bed file, generally bandage limbs, head and top of the pad is set so as not to bruise the head, the needle pulled out of treatment should be hand guard, to give appropriate weight of sedatives. 3.3 vomiting often occur during anesthesia vomiting, vomiting, often before the aura symptoms, with accelerated breathing deepened, restlessness, abdominal and downs obviously, muscle tension, this time should head to one side, the mouth corner to the next home plate, conventional spare suction to prevent aspiration of vomit trachea,[link widoczny dla zalogowanych], causing breathing difficulties, and aspiration pneumonia. in the operation of the Process of the face and neck skin graft dressing area do not want to loose, or affect the survival of skin grafts. 3.4 urinary retention were not clinically line catheterization, as long as the operation to control the amount of liquid into the can , and more on their own after holding urine; for general anesthesia is not clear when patients have urinary retention that often appears as irritability, limb unconscious activity, significantly lower abdomen