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目的 :探讨异位妊娠破裂伴休克病人应用氯胺酮、氟哌利多复合麻醉的手术前、后生命体征变化。方法 :选择 6 6例ASAⅡ～Ⅲ级急诊病人。常规面罩吸氧 ,经及时地扩容、纠酸及输适量全血等综合性抗休克治疗。同时 ,分次缓慢静注氯胺酮 0 5～ 1mg/kg和氟哌利多2 5～ 5mg。并连续记录手术前 5min和手术后 30、6 0、90min时MAP HR RR 及SPO2 的参数。结果 :术毕时与术前比较 ,MAP、HR均有显著性差异 (P <0 0 5 )。结论 :异位妊娠伴休克病人应用氯胺酮、氟哌利多复合麻醉作用快 ,使抢救手术及时安全 ,并且术后苏醒快
Objective: To investigate the changes of vital signs before and after the anesthesia combined ketamine and droperidol anesthesia in patients with rupture of ectopic pregnancy and shock. Methods: Sixty-six ASA Ⅱ ~ Ⅲ emergency patients were selected. Routine oxygen mask, the timely expansion, correcting acid and lose the amount of whole blood and other comprehensive anti-shock treatment. At the same time, slow intravenous injection of ketamine 0 5 ~ 1mg / kg and droperidol 25 ~ 5mg. The parameters of MAP HR RR and SPO2 at 5 min before surgery and at 30, 60, 90 min after surgery were recorded continuously. Results: There were significant differences in MAP and HR between the two groups (P <0.05). Conclusion: Ketamine is used in patients with ectopic pregnancy and shock, and the combination anesthesia with droperidol is quick, so that the rescue operation is timely and safe, and the postoperative recovery is quick