不同原因所致休克患者手术时麻醉的选择和处理

既要不使原有复杂的病理生理改变更趋恶化

又要维护术中的安全和减少各种并发症的发生。我院自1970年5月至1976年12月对99例休克、危重病员采用针刺麻醉

感到优点较多

但还有些问题需待研究和解决

现报告如下:Operations were performed on 99 shocked or seriously ill patients under acupuncture anesthesiafrom May

1970 till December

1976

Of the 99 cases 36 were male

and 63 female.The 99cases included 52 with hemorrhagic shock

29 toxic shock and 18 other diseases.The main observa-tions were as follows:[1]Blood pressure increased in most patients during the induction period of acupueture anesthesia.The amount of blood transfused decreased in the cases of hemorrhagic shock under thisanesthesia.It showed that acupuncture had a regulatory effect on the organism.[2]Blood pressure

pulse and respiration remained stable during operation.Recovery wasrapid and there were no complications after operation.Moreover the method is easy to apply

the equipment simple

and can be used extensively in hospitals at lowest level.[3]While saving the shocked and seriously ill patients

attention must be paid to pathogenictreatment

supplement of blood volume

correction of acidosis

control of breathing and otheranti-shock treatments.[4]Incomplete analgesia and muscular tension were sometimes found after the patients'conditionhad improved.In that case

neuromuscular blocking agents made from medicinal herbswere injected into certain points

in order to relax the abdominal muscles and raise theefficiency of acupuncture anesthesia.If such treatment was unsatifactory

epidural anesthesiawas applied and analgesics or sedatives were added.[5]Blood pressure remained the same or decreased in some cases during the induction period ofacupuncture

but that was not related to the duration of induction period.[6]The causes of death of some cases were heart failure

respiratory failure

renal failure andirreversible shock induced by bleeding.