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近年来,我院在应用丙泊酚静脉麻醉行无痛人流中发生支气管痉挛2例,均抢救成功。现就其原因分析如下。1病例报告例1:患者30岁,体重50 kg,因早孕拟行无痛人流术。体检及辅助检查均正常,开放静脉、以4 L/min流量予鼻导管吸氧,监测Bp、SpO2、HR;予芬太尼0.05 mg、丙泊酚100 mg静脉麻醉,患者发生短暂抽搐后,出现气急、轻度紫绀、双肺有痰鸣音,胸前区散在小红疹,HR为70次/分、BP为106/64 mmHg、RR为25~35次/分、SpO2降至80%左右;立即静注地塞米松10 mg、面罩加压吸氧,但缺氧症状无改善,口、咽部有大量白
In recent years, our hospital in the application of propofol intravenous anesthesia in painless flow in 2 cases of bronchial spasm, were rescued successfully. The reason is as follows. Case report 1: The patient is 30 years old and weighs 50 kg. Painless abortion is planned for early pregnancy. Physical examination and auxiliary examination were normal, open venous, 4 L / min flow to the nasal cannula oxygen, monitoring Bp, SpO2, HR; fentanyl 0.05 mg, propofol 100 mg intravenous anesthesia, patients with transient convulsions, There was shortness of breath, mild cyanosis, both lungs have phlegm, scattered chest rash rash, HR was 70 beats / min, BP was 106/64 mmHg, RR was 25 to 35 beats / min, SpO2 dropped to 80% ; Immediately dexamethasone 10 mg, mask pressurized oxygen, but no improvement in symptoms of hypoxia, mouth, pharynx have a lot of white