国际麻醉学与复苏杂志   2013, Issue (11): 0-0
    
重症ASA Ⅳ级患者实施膝上截肢手术的麻醉管理
王玥, 戈晓东, 王云, 岳云1()
1.北京朝阳医院
Anesthetic management for a severe ASA Ⅳ patient undergoing above-knee amputation
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摘要：

本文通过介绍一例合并多种慢性疾病的ASA Ⅳ级患者在区域神经阻滞下实施膝上截肢手术的麻醉过程，着重分析讨论了本例ASA Ⅳ级患者实施膝上截肢术时麻醉方式的选择和手术过程中的注意事项。区域神经阻滞为合并多种慢性疾病的高危患者提供了一个更为安全可靠的麻醉方法。
关键词： ASA Ⅳ级、膝上截肢术、糖尿病足、区域阻滞麻醉
Abstract:

We describe the case of an ASA Ⅳ patient combined with multiple chronic disease that was subjected to above-knee amputation under regional block anesthesia. Attentions is focused on the analysis of appropriate anesthesia for the patient and precautions during the process .Regional nerve block provides a more safe and reliable method of anesthesia for patients at high risk combined with multiple chronic diseases.
Key words: ASA Ⅳ,above-knee amputation,diabetic foot，regional block anesthesia