术前禁食和应用药物减少肺部误吸危险实用指南

,,,,,,,,:1160111999Anesthesiology[1],,,()2()/,,,,,/,(),,,,,,,(),,,(),/()2h,()(),/(),4h(),/(),6h(),/(),6h,,,,,,,,,,(1)8620051211JClinAnesthesiol,January2005,Vol.21,No.1©1995-2005TsinghuaTongfangOpticalDiscCo.,Ltd.Allrightsreserved.1(h)2466()6,,,,,1Practiceguidelinesforpreoperativefastingandtheuseofphar2macologicagentstoreducetheriskofpulmonaryaspiration:ap2plicationtohealthypatientsundergoingelectiveprocedures:are2portbytheAmericanSocietyofAnesthesiologistTaskForceonPreoperativeFasting.Anesthesiology,1999,90:8962905.(:20040825):065000,,(TUR)1,78,50kg,1::,,BP140/85mmHg,2,L34,0125%5ml,,T8BP120140/6080mmHg,HR5570/1h,ST,BP172/93mmHg,,,,:PO25317mmHg,PCO23615mmHg,Na+121mmol/L,K+4102mmol/L,SpO272%,T8,28gkg21min21,10mg,4mg20mg40mg,,170ml420gkg21min21,,BP130140/7080mmHg,HR100105/,SpO2100%,CVP1618cmH2O,20mgST15min:pH71154,Na+11819mmol/L,K+3114mmol/L,BE-715mmol/L3%NaCl115%KCl25min,ICU1200ml,800ml7000ml,60cmH2OICU,BP137/68mmHg,HR93/,CVP16cmH2O,SpO2100%,Na+10915mmol/L,K+3111mmol/L,,217,Na+12711mmol/L,K+4119mmol/L,CVP10cmH2O,3545,,Na+13619mmol/L,K+4147mmol/L,CVP9cmH2O,,10%NaCl140ml,,,TUR,,,:(1),78;(2);(3);(4)Na+10915mmol/L;(5),;(6),TUR,TURTURCVP,,,,10%NaCl,(:20040311)9620051211JClinAnesthesiol,January2005,Vol.21,No.1©1995-2005TsinghuaTongfangOpticalDiscCo.,Ltd.Allrightsreserved.