%0 Journal Article
%T 含盐酸肾上腺素的局部浸润麻醉对鼻内镜手术影响的研究进展<br>Research Progress on the Effect of General Anesthesia Combined with Local Infiltration Anesthesia Containing Epinephrine on Nasal Surgical Procedures Surgery
%A 张颖
%A 尚晓霜
%A 吴濛潇
%A 王斌杰
%J Hans Journal of Surgery
%P 13-19
%@ 2168-5576
%D 2023
%I Hans Publishing
%R 10.12677/HJS.2023.123003
%X 目前鼻内镜手术的开展已经日渐成熟，但视野狭窄、术中出血是仍此项手术的一个主要缺点。在术前运用不同比例的利多卡因和盐酸肾上腺素混合液渗透到手术区域的鼻黏膜中保持视野清晰、减少手术出血是诸多术者所采取的常用方法，但鼻腔黏膜血管丰富，是否会影响术中血流动力学的稳定性、术后的恢复以及是否会产生并发症尚不明确。故本文结合国内外相关文献，对含盐酸肾上腺素的局部浸润麻醉给鼻内镜手术带来的影响进行综述。<br />
Endoscopic sinus surgery is becoming more and more mature, but the main shortcomings of this surgery are narrow field of vision and surgical field bleeding. It is a method adopted by many researchers that they use mixed liquid of different proportion of lidocaine and epinephrine hydrochloride to penetrate into the nasal mucosa of the surgical area before surgery to maintain a clear visual field and reduce surgical bleeding. However, because of rich blood vessels in the nasal mucosa, it remains unclear that whether it will affect the stability of intraoperative hemodynamics, postoperative recovery and have complications. Based on relative domestic and foreign literature, this paper tempts to make a review about the effect of general anesthesia combined with local infiltration anesthesia containing epinephrine on nasal surgical procedures surgery.
%K 麻醉，肾上腺素，鼻内镜手术，血流动力学，并发症<br>Anesthesia
%K Epinephrine
%K Endoscopic Sinus Surgery
%K Hemodynamics
%K Postoperative Complications
%U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=68263