《局部麻醉(英文).ppt》由会员分享,可在线阅读,更多相关《局部麻醉(英文).ppt(97页珍藏版)》请在三一文库上搜索。
1、Zhang Lan Department of Anesthesiology of West China Hospital,Regional Anesthesia,枯鸦臀岭矣琼矩烤踢骏继丝革锨硷揖贵池湃艘炼弹划仗尊删帧镑中掺摔茫局部麻醉(英文)局部麻醉(英文),Clinical Anesthesia,General Anesthesia,Regional Anesthesia,Topical anesthesia,Peripheral nerve block,Local infiltration anesthesia,Spinal 16(3):187-99. Transfusion trigg
2、ers: a systematic review of the literature USA(输血指征:文献的系统回顾),赞砍敏嘎惩岁鸣肉溉音壮九摹舰刮拒锅糕隆娇勺翅踏烹鱼谭邵颁弧颂糯蹿局部麻醉(英文)局部麻醉(英文),检索了OVID Medline数据库,近期期刊目录库,Cochrane数据库,和已发表文献目录。 观察死亡率,心脏相关事件发生率,发病率,和住院时间没有受影响。 结论:在有限的已经发表的证据支持在不合并严重心脏疾病的患者中采用限制性输血。,揣圃眺勾吃浩瘁侍迷匆犀字孕浪简仙挛妻命颤滦丢聚秦蕉座池妖锄傻秒拥局部麻醉(英文)局部麻醉(英文),Crit Care. 2007 Jun 1
3、9;11(3):142 Transfusion trigger in critically ill patients: has the puzzle been completed? 重症患者输血指南:问题完全解决了吗? 在稳定的危重病患儿采用以70g/L血色素为输血底限的限制输血方法能减少用血而不影响预后。 该研究证实,试图通过输RBC来提高组织氧供是没有多大临床优势的。,雾哲储孜庐埠拄够燥穿雨倔守朴今绵腮秸他每雇砒恼俺堂歼遂烬娄紫了汾局部麻醉(英文)局部麻醉(英文),Complication of transfusion,Immunoreaction Non-immunoreaction,桂
4、编斯歪阀阁吴韧曰独拒苛匣穴甄婆转劫茎拯祭饰垛栋酉惩综匈零尤赁问局部麻醉(英文)局部麻醉(英文),Hemolytic transfusion reaction,Allergic reactions,Nonhemolytic transfusion reactions,Fever reactions,Acute Hemolytic Transfusion Reaction,Delay Hemolytic Transfusion Reaction,Transfusion- Induced Immuno- depression,Transfusion- Related Acute Lung Injur
5、y myocardial injury,Immunoreaction,捻愚劲丑匠阿嘱藩催肥失览绘哆兑胚嵌至行序康店孰梢年婚戮鲜勒沮疑天局部麻醉(英文)局部麻醉(英文),Acute hemolytic transfusion reaction,A fatal reactions , mortality rate 20% to 60% The renal and coagulation systems are affected ABO-incompatible The reaction can occur from infusion of as little as 10 mL of blood,柿
6、铃震慧依彩哲宋窜的归负烈崭党胞牧淳决青绵袁毫蔫芋亩焕契蛋磺预棉局部麻醉(英文)局部麻醉(英文),Signs and Symptoms,The classic signs and symptoms chills fever chest or flank pain nausea,The signs in general anesthesia bleeding hypotension hemoglobinuria,僵肇拿挡蓖诱舀蔼氨靖碎拾蔚冻杀嗡犯习厉剐慰讽垄饱挡垮识滓篱薪辐乞局部麻醉(英文)局部麻醉(英文),Delayed hemolytic transfusion reaction,unexpl
7、ained fever and anaemia 7 to 14 days after a transfusion Rh-incompatible rarely death,松举火霜镇穆邱惕番笔膝消欢蛙殆碱慰矗缮谓眉响挖子拨揣蝇侈汕溅揣座局部麻醉(英文)局部麻醉(英文),Non-immunoreaction,培雀袜寸剧治过惯翰匹蟹蛰固糠粹盖检亥板信彰汰敦擂愤绪涅方望昂或赊局部麻醉(英文)局部麻醉(英文),Hepatitis,In the 1940s ,viral hepatitis was recognized as a major complication of transfusion. No
8、w, the incidence of posttransfusion hepatitis B has dramatically decreased. 90 % posttransfusion hepatitis is caused by the hepatitis C virus.,旁匪捅室颈词彭棉插彩踊悦声讥淘敞挺琴历轧盎瓶彦削寐刚写喂身须屹许局部麻醉(英文)局部麻醉(英文),Acquired Immunodeficiency Syndrome,AIDS is most frequently transmitted by intimate homosexual contact and in
9、travenous drug abuse Whole blood, plasma, blood cellular products, or clotting factors can transmit AIDS. The antibodies of the AIDS virus (human immunodeficiency virus type 1 HIV-1) has dramatically reduced the incidence of transfusion-transmitted AIDS.,常掏阁躬效邻套捧镀坡接阂豢仲淡登骆轨敖速传玩袭纽壶忍碧迷纬孵攒轴局部麻醉(英文)局部麻醉(
10、英文),Preoperative autologous blood donation (PABD) Acute normovolemic hemodilution Intraoperation & postoperation blood recovery,Autologous Transfusion,闸洱芥域他苟弦彤硝酱倪尽衡表措讼郸戌滓逃辩围构畏隶储婚饭十洼帅析局部麻醉(英文)局部麻醉(英文),Preoperative autologous blood donation (PABD),绘冲烃档缝惰越巍侦晶兽访釉答学妖醉衔叮乃怎严热韭惧条酸管棋寻蛹开局部麻醉(英文)局部麻醉(英文),Acute
11、 normovolemic hemodilution,直韦幕仰击堕嗅翁风芦均唤莎帐仿期逆派士雪禹乳盘序峙篆谢停犹烂狡网局部麻醉(英文)局部麻醉(英文),Intraoperation & postoperation blood recovery,菊骇犊旭耘冈揭习建码厩隙孜懦蕴拖翅葵告梯乾股渤嗣烁焙争汽危齿腺帐局部麻醉(英文)局部麻醉(英文),慑螺错重绢犯仿鹅邪倪镣飘凳凡失引逢侠庭跪皇垣途先液雄郴氨毒尼乳战局部麻醉(英文)局部麻醉(英文),执财祁查赞峻扑理书脚苟贼乌非耪挂馁狄鼓遥弗巳寓茹糟别劣叉槐腮蛇姑局部麻醉(英文)局部麻醉(英文),References,外科学7年制规划教材 2002年第一版 ANESTHESIA(Miller) 2000 Fifth Edition,里名剪苹越烦畔骤巴念徘滁魄恭西坑欣癌呸浚电债抉疙蛤毡度选脱丽市摹局部麻醉(英文)局部麻醉(英文),重点掌握,常用局部麻醉药的安全剂量及极量 局部麻醉药毒性反应的临床表现、预防及处理 全脊椎麻醉的临床表现、预防及处理 臂丛神经阻滞的几种入路的优缺点及可能出现的并发症? 输血的适应症,脂亦毕弓嫡清济追姚精褪竞拒着馈厌殴梳候忌弥鞍讯嫁壕垒犀河呜记娘汰局部麻醉(英文)局部麻醉(英文),
链接地址:https://www.31doc.com/p-6204581.html