论文部分内容阅读
我室成立已有5年,在前三年中,我们均按传统方法作胃镜前准备:根据患者的心率快慢不等给肌注阿托品0.5～1 mg,有的患者因情绪紧张而肌肉注射安定5～10mg,并作咽部局部喷洒地卡因。但在检查中约有10%～25%患者因咽部刺激出现恶心、呛咳、干呕而致镜管不能通过咽部进入食道,或因通过食道,贲门时出现胸闷,呼吸困难、恶心,有的还出现心慌、腹痛不能耐受而终止检查,我们对60岁以上的老年患者,即使心电图、血压检查正常,也恐在术中出现意外而拒之门外。 1989年我们看了贵刊9卷6期王盛波等的《耳穴麻醉行纤维胃镜检查术32例》一文深感兴奋,从此至今两年来,我们均采用王氏耳穴麻醉法行胃镜术5000例,无一例因恶心、干呕、胸闷、心慌、呛咳,腹疼等症状而终止检查,有的患者有轻微症状,恶心、干呕,让助手或家属继续刺激穴位,症状减轻而使检查顺利完成,并且视野清楚,误诊率低。我们还对60岁以上的老年人敞开了大门,血压轻度增高、心电图轻
We have established the room for 5 years. During the first three years, we all prepared the gastroscope according to the traditional method. According to the patient’s heart rate, intramuscular injection of atropine 0.5 ~ 1 mg, some patients due to emotional stress and intramuscular injection stability 5 ~ 10mg, and for local pharyngeal spraying of cocaine. However, in the examination, about 10% to 25% of patients due to pharyngeal stimulation nausea, choking, retching caused by the tube can not enter the esophagus through the pharynx, or through the esophagus, cardia when chest tightness, dyspnea, nausea, Some also appear flustered, abdominal pain can not tolerate the termination of the examination, we are over the age of 60 elderly patients, even if the ECG, blood pressure tests are normal, but also fear of surgery in the accident and refused to shut out. In 1989, we read Exclamation Point 9 and 6 Wang Shengbo and other “Auricular Anesthesia 32 cases of fiberoscopy gastroscopy,” a text deeply excited, so far two years, we have adopted the Wang Auricular Point Gastroscopy anesthesia in 5000 cases, no A case of nausea, retching, chest tightness, palpitation, cough, abdominal pain and other symptoms and termination of the test, and some patients have mild symptoms, nausea, retching, so that assistants or their families continue to stimulate the acupuncture points, relieve the symptoms and make the inspection successfully completed, And clear vision, misdiagnosis rate is low. We have also opened the door to people over the age of 60 with slightly elevated blood pressure and light ECG