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目的探讨创伤性颅脑损伤患者的麻醉处理方法。方法对42例患者均给予气管插管全麻,经静脉通道给予咪达唑仑,同时给予舒芬太尼、维库溴铵、异丙酚,对患者进行麻醉监测。结果所有患者麻醉均平稳,没有出现严重低血压、呛咳和躁动等异常情况,麻醉效果满意,麻醉期间无一例患者死亡。结论麻醉前恰当评估患者病情、积极控制颅内压和加强麻醉期间管理是降低创伤性颅脑损伤患者手术麻醉风险的关键。
Objective To investigate the anesthetic management of traumatic brain injury. Methods All 42 patients were given general anesthesia through tracheal intubation and midazolam via intravenous access. Sufentanil, vecuronium and propofol were also given to the patients for anesthesia monitoring. Results All patients were stable anesthesia, no severe hypotension, cough and restlessness and other abnormalities, anesthesia satisfactory results, no patient died during anesthesia. Conclusions Proper evaluation of the patient’s condition before anesthesia, positive control of intracranial pressure, and management during anesthesia are the keys to reducing the risk of surgical anesthesia in patients with traumatic brain injury.