眼科手术麻醉英语教学PPT课件

. 1、AnesthesiaforOphthalmicSurgery (眼科手术麻醉)、Xuli、2、3、4、ProfileandDemands .fineprocedundamands、intraocularpressure(IOP )、 airway oculocardiacreflex(OCR )、5、 preoperativevaluationandapreparation psychocollogicalpreationtretrationtheorindissesstritattionoftheco-existing diseases .6， 抗胆碱能药pre medication anticholinegics : givenintramuscularly， havenosicationficationsoniop.however appliedtopiccallytotheyemaycausemydriasis (瞳孔散大) andmayincreaseIOP.sedatives (镇静药) analgesics (镇痛药) 、7、anesthetic techniques.local anesthesia， generalanesthesia，8， colllaticationsofretrobulbarblock (向睫状长度、短神经及眼球筋膜囊内注入局部麻醉药物)，importantpointsinlocalanesthesia applicationofadrenalin，applicationoff Toxicittyoflocalanesthetics，9，importingpotinsingeneralanesthesia，careful monitoring smooth anesthesia，applicationofmusclerelax N2OonIOP，anestheticsandIOP，10，Questions，whatsthemaincauseofxorbitantiopduringethalmicoperations？ whatsocndhowtottreatit？ 青光眼(glaucoma )患者术前给药、局麻药和全麻肌松药的应用注意事项？ 在视网膜脱离修补术中，手术需要在玻璃体内进行呼吸，吸入全部麻药应该注意什么？11、THANKyou，12、 demands patientscooperationandimmobility-perfectsedationandanalgesizebeavailablle.fixationoftheeyeball-relaxationoftherbiculary andextraocularmuscles (眼外肌) isnecessary .13，IOP (眼内压)，1， IOP:thepresssurreontheeeyblarlecretebythentheaocularcontents .3， themanetdeterminotionforionthedynamicbarchannetheprodectionopoptioushummorintentualelimination .2，aquousus 4， themaincauseofexorbitantiopistheobstructionoftheaqueoushusor (房水) circulation .14，15，16， severalimpactfactsoniop mydriaticdrugs (扩大瞳药) Maneuvers (动作行为) Hypercarbia (高碳酸血症) andhypoxia (低氧血症) pressurseontheeeyeballanesthetics : mostanesetheticsreduction.onlysuccilchillconlinelandketaminemayincaseiop .17， OculocardiacReflex(OCR )眼心反射TheOCRisatrigeminovagalreflex (三叉迷走神经反射) thatmaybeinduedbypressurntheeyeball，traction (牵引) ontheextraoculary 眼眶内的hematoma (血肿) oculartrauma (损伤)、andeyepain、manifestedbycardiacarrhythmias (心律失常) suchasbradycardia (心律失常)、nodalrhythm ventricularfibrillation、orasystole、18、LocalAnesthesia、topicalanesthesia (表面麻醉) infiltrationanesthesia (浸润麻醉) nerveblock、19 general aness withendootrachealintuber，withendootrachealintuber，20，21，AnestheticsandIOP， mostgeneralanestheticsarecnsdepressants theyloweriop.butsuccinylcholinecausesatransent (4到6分钟) butcertificatentincreationiniopof 10 to 20 mmhg.theffectofketoketamineoniopvaries.earlystures.erarlystudentiesreportedanincreate riscularisadministration of ketamine.ketaminegivenaferpremedicatewithdiazepamandmeperidine (佩奇) doesnotaffectiop andintrintramusculrlyadiminstitydetemminmayevenloweriopinchildren .22，N2OonIOP， ophthalmologistssometimesinjectasmallobubbleofgas (e.g . SF6)intothevitreal (玻璃体的) cavityduringreattachment (修补) oftheretina (视网膜) soastoholdtheretinainplaceunderalong-actingbubbleofstabsize.N2 oisoridefredffusiblethansf6andmoresolubleinwate