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慢性脊髓损伤成人患者的麻醉

Authors
Lorri A Lee, MD
Letha Mathews, MBBS, FFARCS (I)
Section Editor
Jeffrey J Pasternak, MD
Deputy Editor
Marianna Crowley, MD
Translators
朱正华, 副主任医师，副教授

引言

脊髓损伤(spinal cord injury, SCI)可导致各种各样的系统性生理机能改变，这些改变能随着时间的推移引起并发症。慢性脊髓功能障碍患者常因泌尿外科、骨科及整形外科的手术而需麻醉。

为了便于讨论，慢性损伤定义为损伤后超过几周的病况。

本专题将讨论慢性SCI患者的麻醉管理。急性SCI患者的麻醉及SCI患者的慢性并发症将单独讨论。 (参见“急性脊髓损伤成人患者的麻醉”和“脊髓损伤和脊髓疾病的慢性并发症”)

术前评估

对于所有将接受麻醉的患者，应采集病史、行麻醉导向的体格检查。对于这些患者，我们会重点评估伴随慢性SCI出现并影响麻醉管理的各种系统性并发症。

本专题将讨论麻醉时值得特别关注的SCI慢性并发症；其他并发症将更为全面地单独讨论。 (参见“脊髓损伤和脊髓疾病的慢性并发症”)

                            

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Literature review current through: 2017-06 . | This topic last updated: 2016-10-11.
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