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yi bing fen zai chao sheng nei jing jian cha zhong de ying yong
Author(s): 
Pages: 1339-1341
Year: Issue:  9
Journal: THE JOURNAL OF PRACTICAL MEDICINE

Keyword:  麻醉静脉二异丙酚内窥镜检查;
Abstract: 目的:探讨异丙酚无痛麻醉应用于超声内镜检查的安全性及有效性.方法:110例接受超声内镜检查患者(除外禁忌证)为观察对象,在麻醉医师监护下选用异丙酚静脉麻醉.记录患者接受检查前后不同时点的血压、心率、血氧饱和度,观察不良反应、用药剂量、并发症、操作时间、清醒时间及内镜医生及患者满意度.结果:平均丙泊酚用量为268mg(100~400 mg),平均操作时间约16min(3~40 min).所有病例均一次操作成功.无重大不良反应出现.检查中血压、心率较检查前均有不同程度下降.15例(13.6%)血氧减低<95%,血氧降低<90%者8例(7.3%),但无一例出现严重低氧血症即血氧<85%.内镜医生认为95.5%(105/110)的病例检查过程很顺利或顺利,所有病人均对麻醉表示满意及愿意再接受检查.结论:麻醉医师指导下异丙酚静脉麻醉应用于超声内镜检查安全可行.
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