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患者男,48岁。声音嘶哑8个月,近1个月症状加重,以“左声带息肉”于1996年3月29日入院。查;一般状态佳,心肺未见异常,无头痛、恶心、呕吐、神志清晰,四肢活动自如。T35℃,P80次/min,R20次/min,BP14/10kPa。术前准备已毕,于1996年4月1日上午8时在“全麻支撑喉镜下行声带息肉摘除术”。术前给病人肌注杜冷丁30mg(镇痛)+阿托品0.5mg(预防咳嗽、喉痉挛、支气管痉挛),20min 后,病人取仰卧位,2.5%硫喷妥钠325mg+司可林100mg,缓慢静注,快速诱导,行气管内插管,手术历时20min,术中病人生命指征稳定,术毕自主呼吸恢复,拔管送回病房。病人全麻3h 后苏醒,发现左侧肢体无力,不能活动,立即请神经内科会诊,诊断为“脑血栓”,立即给予(1)
Male patient, 48 years old. Hoarseness 8 months, nearly 1 month symptoms increased to “left vocal cord polyps” on March 29, 1996 admitted. Check; the general state of good, no abnormal heart and lung, no headache, nausea, vomiting, clear consciousness, limbs freely. T35 ° C, P80 times / min, R20 times / min, BP14 / 10kPa. Preoperative preparation has been completed, at 1:00 on April 1, 1996 at 8:00 in the “general anesthesia laryngoscope descending vocal cord polyp surgery.” Preoperative patients were given pethidine 30mg (analgesia) + atropine 0.5mg (to prevent cough, laryngospasm, bronchospasm), 20min after the patient supine position, 2.5% thiopental sodium 325mg + Note, rapid induction, endotracheal intubation, surgery lasted 20min, intraoperative life-saving patient indications stable, recovery of spontaneous breathing after surgery, extubation back to the ward. Patient anesthesia 3h wake up, found the left limb weakness, can not activity, immediately ask neurology consultation, diagnosed as “cerebral thrombosis”, immediately given (1)