摘要
Abstract
Objective:To investigate the anesthesia hemodynamic monitoring of simultaneous flap transfer for oropharyngeal carcinoma.Methods:The perioperative anesthesia data of 32 patients with oropharyngeal carcinoma who underwent pedicle flap transplantation and carcinoma excision at the same time in our hospital from January 2018 to September 2022 were retrospectively analyzed.Heart rate(HR),invasive arterial blood pressure(IBP),central venous pressure(CVP),blood oxygen saturation(SPO2),pH value,partial pressure of oxygen(PaO2),partial pressure of carbon dioxide(PaCO2),anesthesia time,blood loss,and perioperative anesthesia related complications were continuously monitored during the operation.The data were recorded at the beginning of anesthesia(T1),the beginning of surgery(T2),the beginning of flap transfer(T3),the end of flap transfer(T4)and the end of surgery(T5).Results:Anesthesia was successfully performed in 32 cases.The anesthesia time was(490.84±15.04)min,and the blood loss was(385.62±4.32)mL.IBP and CVP at T3 were significantly lower than those at other time points,and HR was significantly higher than those at other time points(P<0.05).At T4 and T5,pH value was lower than those at other time points,and PaCO2 was higher than those at other time points(P<0.05).There were no complications related to anesthesia during the perioperative period.Conclusion:In the anesthesia hemodynamic monitoring of simultaneous pedicle flap transplantation for oropharyngeal carcinoma excision,it is important to monitor the anesthesia time,depth of anesthesia and blood loss,and maintain the circulation stability and acid-base balance during anesthesia.关键词
口咽癌/皮瓣移植/围术期/麻醉血流动力学Key words
oropharyngeal carcinoma/pedicled flap transfer/perioperative/hemodynamics of anesthesia分类
医药卫生
