目的 总结颈动脉内膜切除术(CEA)临床麻醉经验。方法 回顾分析2012年4月至2015年2月我院268例颈动脉内膜切除术患者的临床麻醉管理。其中男207例,女61例;年龄48～84(66.2±5.8)岁。结果257例患者采用全麻，11例采用颈丛神经阻滞。颈动脉阻断时间22.3±5.4min，苏醒时间5.3±1.5min。术后出现3例脑梗，1例脑出血，1例心衰。结论 麻醉期间需要维持足够的脑血流、降低心肌氧耗和提供快速、平稳的苏醒过程。
Objective To summarize clinical anesthesia experience of carotid endarterectomy (CEA). Methods Anesthetic management details of 268 cases of carotid endarterectomy patients from April 2012 to February 2015 in our hospital were collected for a retrospective analysis. There were 207 male cases and 61 female cases; aged from 48 to 84 (66.2 ± 5.8) years. Results 136 cases of patients were under general anesthesia, 11 cases were with cervical plexus block. Carotid artery occlusion time was 22.3 ± 5.4min and recovery time was 5.3 ± 1.5min. There were 3 cases with postoperative cerebral infarction, 1 case with cerebral hemorrhage, and 1 case with heart failure. Conclusion It is very important to maintain adequate cerebral blood flow, reduce myocardial oxygen consumption during anesthesia, and to provide fast, smooth awakening process.
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