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題 名 | 腹部手術後之加護照顧=Abdomen Surgery Critical Care |
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作 者 | 唐高駿; 雷永耀; | 書刊名 | 中華民國重症醫學雜誌 |
卷 期 | 3:1 2001.01[民90.01] |
頁 次 | 頁21-28 |
分類號 | 419.73 |
關鍵詞 | 腹部手術; 敗血症; 氧氣供給; 人工呼吸器; Abdominal surgery; Sepsis; Oxygen delivery; Mechanical ventilation; |
語 文 | 中文(Chinese) |
中文摘要 | 腹部手術常會造成大範圍的組織傷害及手術期問菌血症,使此類病患術後易產生敗血症、休克、營養不良及呼吸衰竭。術後的加護醫療之目標是維持最佳的血流和氧氣的供給。除了維持全身性的血壓和心輸出量,腸胃道及肝臟之灌流更不容忽視。適當的疼痛控制特別是硬脊膜外麻醉出能減少術後呼吸合併症的發生率。人工呼吸器進行陽壓呼吸可確保足夠之換氣與血氣濃度,防止肺泡的塌陷,經由氣管內管可有效的抽痰,然而,人工呼吸器會造成黏膜功能傷害和導致肺部感染,因此若病患病情穩定,呼吸器應儘快予以戒斷。隨著麻醉及外科的進步,我們更積極的以外科手術治療對年齡大、身體貯備差,或嚴重的敗血症病患,唯有手術期間與手術後在血流動力、呼吸功能、良好止痛與營養支持上仔細監測及治療才能確保手術之成功。 |
英文摘要 | Abdominal surgery induced massive tissue trauma. Manipulation of intestinal and biliary tract may cause transient bacteriemia. Those patients are predisposed to shock, sepsis, malnutrition and post-operative respiratory insufficiency. The goal of postoperative critical care is to ensure adequate blood flow and oxygen delivery. In addition to systemic blood pressure and cardiac output, intestinal tonometry can specifically monitor intestinal mucosal pCO2 and indicate the adequacy of splanchinic perfusion. Adequate pain control, especially epidural anesthesia reduced incidence of respiratory complication mechanical ventilation ensured adequate gas exchange. Prevent atelectasis by positive airway pressure, and endotracheal tube facilitate sputum suction and tracheal toilet. However, mechanical ventilation impairs muco-ciliary function and induces ventilator associated pneumonia. As soon as the patient is stabilized, ventilatory support should be weaned. |
本系統中英文摘要資訊取自各篇刊載內容。