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題 名 | Delayed Awakening After Propofol, Nitrous Oxide and Wxygen Anesthesia for the Elderly with Poor Renal Function and Sustained Hypertension--An Analysis with Clinical Cases=具抵抗性高血壓和腎功能不良老人對propofol和笑氣麻醉有蘇醒緩慢現象--臨床病例分析 |
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作 者 | 林長春; 郭英雄; | 書刊名 | 中華民國口腔顎面外科學會雜誌 |
卷 期 | 4:2 1993.09[民82.09] |
頁 次 | 頁90-95 |
分類號 | 416.5 |
關鍵詞 | 麻醉蘇醒; 抵抗性高血壓; 腎功能; 老病人; Recovery from anesthesia; Propofol; Sustained hypertension; Renal function; Elderly patients; |
語 文 | 英文(English) |
中文摘要 | Propofol和笑氣麻醉對太多數病人共有降血壓和蘇醒快速的特點,但作者於150個案中,卻發現propofol若高劑量灌注於具抵抗性高血壓和腎功能欠佳之老病人時,術復蘇醒速度嚴重延緩,比高劑量平均為9.8mg/kg/h。若腎功能正常,而劑量於後半期怠降並使用抗高血藥劑維持正常血壓,則病人蘇醒快速。若病人之高血壓對propofol反應敏銳,則不需抗高血壓劑,小量之propofol和笑氣即可維持麻醉和正常血壓。腎功能正常與否並非絕對能定propofol之排泄速度,但年紀越大,propofol擴清速度越慢。高劑量長期灌注propofol作為抗高血壓劑以維持正常血壓乃是病人蘇醒緩慢之根本原因。 |
英文摘要 | Propofol, nitrous oxide and oxygen anesthesia usually causes, hypotension and early awakening is expected generally. However, the authors found a case of delayed awakening among 150 patient. The patient was an elder with poor renal function and sustained hypertension. Her blood pressure was controlled with prolonsed hish dose infusion (mean dose= 9.8 mg/kg per h) of propofol. Two other cases in similar situation but recovered early from the anestheaia are included in this report for comparison. One of the two was an elderly patient with sustained hypertension but normal renal function, the dose of propofol was kept minimal and the blood pressure was controlled with antihypertensive agents during the last period of operation. The other patient was also an elder with hypertension and renal insufficiency, but the hypertension was very sensitive to propofol, adequate blood pressure and depth of anetheeia were maintained by low dose of propofol. The clearance of propofol is not influenced ignificantly by the renal function. But with aging, the clearance is reduced. Prolonied infusion of propofol in high dose to control sustained perioperative hypertension may cause delayed awakening. |
本系統中英文摘要資訊取自各篇刊載內容。