椎管内麻醉并发症概述课件

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,椎管麻醉弄发症,歡瘫,椎管麻醉弄发症,1,穿,辱羿翀硬蹙出椎剩肾短写全物尿恶葬全呼火管,管藏经昪幕血管与上誓尾真影潴心嘲脊吸血内,折缺机膜内工腺种绵毒雕呕广髓系营阻,断血械霁血管橐经合咝吐泛麻统系,或咝咝破,相的症症,地醉弄统粗,哭,哭发,发弄,哭,窃伤歌,和痛,症应,中柩种经系统和心血管系统,阻滞脊种经,症放,开,症发,症,脊前动脉综合症,椎管內麻醉发症,穿,2,e截瘫的因素,麻醉因素,硬膜外血肿、脊髓损伤、药物误注等,病人的自身的因素,癔病、脊髓病变、椎管内占位、脊髓前动脉综合症等,偶合情况,椎管内肿瘤、腰椎管狭窄、腰间盘脱出等,e截瘫的因素,3,截瘫,原因,硬膜外血肿,脊髓损伤,措痂,脊髓前动脉综合征,防拾,马尾神经丛综合征,硬膜外脓肿,粘连性蛛网膜炎,短暂神经症,妇产科手术与椎管内镇痛,截瘫,4,椎管內麻醉的禁戛,中枢神经系统疾病,特别是脊髓或脊神经根病变,列为绝对禁忌。对于,慢性或退行性病变,如脊髓前角灰白质炎,绝对禁忌。疑有颅内压增高,的病人,禁忌。,全身性严重感染,穿刺部位有炎症或感染者。,高血压和并冠心病患者,脊禁腰麻。,休克病人禁忌使用腰麻,慢性贫血病人,在血容量足的情况下,可以考虑使用低位腰麻,老年人循环储备能力差的,腰麻禁忌。,腹内压明显升高的,禁忌腰麻,脊椎外伤或有严重腰背痛病史者,脊柱畸形的患者,如氟骨症患者。,精神疾患、严重神经官能症或小儿等不能合作的病人。,椎管內麻醉的禁戛,5,硬隴外血肿,硬隴外血肿,6,椎管内麻醉并发症概述课件,7,椎管内麻醉并发症概述课件,8,椎管内麻醉并发症概述课件,9,椎管内麻醉并发症概述课件,10,椎管内麻醉并发症概述课件,11,椎管内麻醉并发症概述课件,12,椎管内麻醉并发症概述课件,13,椎管内麻醉并发症概述课件,14,椎管内麻醉并发症概述课件,15,椎管内麻醉并发症概述课件,16,椎管内麻醉并发症概述课件,17,椎管内麻醉并发症概述课件,18,椎管内麻醉并发症概述课件,19,椎管内麻醉并发症概述课件,20,椎管内麻醉并发症概述课件,21,椎管内麻醉并发症概述课件,22,椎管内麻醉并发症概述课件,23,椎管内麻醉并发症概述课件,24,椎管内麻醉并发症概述课件,25,椎管内麻醉并发症概述课件,26,椎管内麻醉并发症概述课件,27,椎管内麻醉并发症概述课件,28,椎管内麻醉并发症概述课件,29,椎管内麻醉并发症概述课件,30,椎管内麻醉并发症概述课件,31,椎管内麻醉并发症概述课件,32,椎管内麻醉并发症概述课件,33,椎管内麻醉并发症概述课件,34,椎管内麻醉并发症概述课件,35,椎管内麻醉并发症概述课件,36,椎管内麻醉并发症概述课件,37,椎管内麻醉并发症概述课件,38,椎管内麻醉并发症概述课件,39,椎管内麻醉并发症概述课件,40,椎管内麻醉并发症概述课件,41,椎管内麻醉并发症概述课件,42,椎管内麻醉并发症概述课件,43,椎管内麻醉并发症概述课件,44,椎管内麻醉并发症概述课件,45,椎管内麻醉并发症概述课件,46,椎管内麻醉并发症概述课件,47,椎管内麻醉并发症概述课件,48,椎管内麻醉并发症概述课件,49,椎管内麻醉并发症概述课件,50,椎管内麻醉并发症概述课件,51,椎管内麻醉并发症概述课件,52,椎管内麻醉并发症概述课件,53,椎管内麻醉并发症概述课件,54,椎管内麻醉并发症概述课件,55,椎管内麻醉并发症概述课件,56,椎管内麻醉并发症概述课件,57,椎管内麻醉并发症概述课件,58,椎管内麻醉并发症概述课件,59,椎管内麻醉并发症概述课件,60,椎管内麻醉并发症概述课件,61,椎管内麻醉并发症概述课件,62,