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全麻术后合井急性肺水肿是全麻手术的一个特殊并发症,严重威胁患者生命。本文报道一例胆囊切除全麻术后并发急性肺水肿的护理,现将体会介绍如下。一、病例介绍患者男,50岁,体重81kg,因反复右上腹隐痛二年余,以“慢性胆囊炎,胆囊结石”入院。既往身体健康。于1999年1月22日在全麻插管,氨氟醚麻醉下行胆囊切除术。术程顺利,输液共2500ml,其中乳酸林格氏液1000ml,平衡液500ml,706代血浆500ml,海脉素500ml,滴速60滴/分。手术历时3小时20分。清醒后拔管,出现自主呼吸微弱,血氧饱和度(SaO_2)由98%急剧降至43%,心率120次/分,再次气管插管,见气管导
Anesthesia combined with acute pulmonary edema is a special complication of general anesthesia surgery, a serious threat to patient’s life. This article reports a case of cholecystectomy complicated with acute pulmonary edema nursing, now the experience described below. First, the case description Male patient, 50 years old, weighing 81kg, due to repeated pain in the right upper quadrant more than two years to “chronic cholecystitis, gallstone” admission. In the past, good health. On January 22, 1999 in anesthesia intubation, anesthesia under the line of cholecystectomy. Operation smoothly, a total of infusion 2500ml, of which Ringer’s lactate 1000ml, 500ml balance solution, 706 generations of plasma 500ml, sea urinary 500ml, drip 60 drops / min. Surgery lasted 3 hours and 20 minutes. After awake extubation, spontaneous breathing appears weak, oxygen saturation (SaO_2) dropped sharply from 98% to 43%, heart rate 120 beats / min, tracheal intubation, see tracheal