腹膜透析和常规血液透析使许多晚期肾功不全者得救,但需行外科手术以改善病情者,给麻醉医生提出特殊问题。由于病人全身情况差和病情严重,常使麻醉医生顾虑麻醉中用药的排出问题。因此,围绕肌肉松弛剂的选择问题,颇多争论。由于Pancuronium的大部分可能原样经尿排出,因此,对使用本药多持保留态度。作者报告五例严重肾功不全患者安全使用Pancuronium的成功经验。为肾功损害患 Peritoneal dialysis and conventional hemodialysis rescue many patients with advanced renal insufficiency, but surgery is required to improve the condition, posing special problems to the anesthesiologist. Due to the poor general condition and serious condition of the patient, the anesthesiologist often worries about the discharge of drugs during anesthesia. Therefore, many questions about the choice of muscle relaxants. As most of Pancuronium may be excreted through the urine, therefore, the use of this medicine and more reservations. The authors report the successful experience with the safe use of Pancuronium in five patients with severe renal insufficiency. For kidney damage