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微创麻醉内涵及其在老年危重症创伤患者手术中的应用

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老年危重症创伤患者常合并循环、呼吸和肾脏等多器官功能障碍或衰竭,其麻醉风险大、术后病死率高.针对高风险患者手术麻醉方式的选择,国内外学者提出了微创麻醉的理念,并强调微创麻醉技术的应用,但目前微创麻醉还缺乏一个明确的定义.笔者通过阐述微创麻醉理念的演变历程,提出微创麻醉的定义,并就微创麻醉内涵及其在老年危重症创伤患者手术中的应用进行探讨,为微创麻醉理念的推广应用和微创麻醉新技术的研发提供参考.
Connotation of minimally invasive anesthesia and its application in surgery for aged patients with critically ill trauma
The elderly patients with critically ill trauma often complicate with multi-organ dysfunction or failure,which particularly affects the circulatory,respiratory,and renal systems,thereby entailing considerable anesthesia risks and heightened postoperative mortality rates.In addressing the selection of anesthesia for surgeries on high-risk patients,scholars home and abroad have advocated the concept of minimally invasive anesthesia and reinforced the implementation of its techniques.Nevertheless,a definitive definition for minimally invasive anesthesia remains elusive.By tracing its evolution,the author initiated a definition for minimally invasive anesthesia and delved into its underlying significance and application in surgeries for elderly patients with severe traumatic injuries so as to provide a reference for the spread of its concept as well as the development and research of novel minimally invasive anesthesia techniques.

Wounds and injuriesAgedCritical illnessAnesthesia

李洪

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陆军军医大学第二附属医院麻醉科,重庆 400037

创伤和损伤 老年人 危重病 麻醉

2024

中华创伤杂志
中华医学会

中华创伤杂志

CSTPCD北大核心
影响因子:1.425
ISSN:1001-8050
年,卷(期):2024.40(12)