تخدير مرضى الآفات الرئوية الإنسدادية المزمنة
Abstract
أجريت الدراسة في مشفى الأسد الجامعي في اللاذقية في قسم التخدير والإنعاش على /60/ مريض مصاب بآفة رئوية انسدادية مزمنة خلال العام 2005-2006. تم تقسيم هؤلاء المرضى إلى مجموعتين:
مجموعة أولى: تضمنت /30/ مريض أجريت لهم الجراحة المقررة تحت التخدير العام.
مجموعة ثانية: تضمنت /30/ مريض أجريت لهم الجراحة المقررة تحت التخدير الناحي.
كانت النتائج على الشكل الآتي:
1- حدث نقص أكسجة في أثناء المباشرة عند 10% من مرضى التخدير العام.
2- حدث نقص أكسجة في أثناء الصحو عند 20% من مرضى التخدير العام.
3- حدث احتباس CO2 في أثناء الصحو عند 26% من مرضى التخدير العام.
4- حدث تشنج قصبي في أثناء الصحو عند 40% من مرضى التخدير العام.
5- حدث سعال في أثناء الصحو عند 35% من مرضى التخدير العام.
6- حدث تغيرات ذات أهمية في قيم غازات الدم الشريانية عند 30% من مرضى التخدير الناحي.
This study was carried out in 2005-2006 in the department of Anesthesia at AL-Assad University Hospital in Lattakia and included /60/ patients affected with chronic obstructive pulmonary diseases. Patients were classified into two groups:
The first group included /30/ patients how were undergone selective surgery by using general anesthesia.
The second group included /30/ patients operated on by using general anesthesia.
The results were as follows:
1- 10% of patients with general anesthesia have experienced hypoxia of during induction.
2- 20% of patients with general anesthesia have experienced hypoxia of during recovery.
3- 26% of patients with general anesthesia have CO2 retention during recovery.
4- 40% of patients with general anesthesia have broncho-spasm during recovery.
5- 35% of patients with general anesthesia have experienced coughing during recovery.
6- 30% of patients with local anesthesia have shown remarkable changes in the arterial blood gasses values.
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