%0 Journal Article %T 电击伤病人行截肢术中发生严重二氧化碳蓄积教训总结
Lessons from Carbon Dioxide Accumulation of Severe Electrical Injury Patients Undergoing Amputation %A 王惠霞 %A 高成杰 %A 王向阳 %A 朱苗苗 %A 王瑞雯 %J Asian Case Reports in Anesthesiology %P 9-11 %@ 2328-0379 %D 2013 %I Hans Publishing %R 10.12677/ACRA.2013.13003 %X

目的：通过一例电击伤病人行截肢术发生严重二氧化碳蓄积，总结麻醉经验教训，寻求更加合理的麻醉管理方法。方法：患者40岁男性，在臂丛神经阻滞麻醉下行左上肢截肢手术。结果：血氧饱和度降为91%，查动脉血气，PO2为110 mmHg，PCO2为132 mmHg。结论：患者因通气量不够，同时对患者观察不够细心，呼吸管理不够完善，发生了严重的二氧化碳蓄积，导致发生呼吸性酸中毒。
 Objective: Through cases of electrical injury patients undergoing amputation of serious accumulation of carbon dioxide, we summarize the experience and lessons for anesthesia, anesthesia management methods more reasonable. Methods: Electric Burn %K Amputation %K Carbon Dioxide Accumulation %K Respiratory Acidosis %U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=12243