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Turkiye Klinikleri Journal of Anesthesiology Reanimation最新文献

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Sepsiste Sedasyon Amacıyla Propofol Kullanılabilir mi
Pub Date : 2018-01-01 DOI: 10.5336/anesthe.2017-59067
U. Koca
lipolizde, plazma serbest yağ asitlerinde, plazma düşük dansiteli lipoprotein düzeyinde, kas proteolizinde, akut faz proteinlerinde artış, plazma yüksek dansiteli lipoprotein düzeyi, hücresel oksijen kullanımı, adenozin trifosfat sentezinde azalma ve anaerobik glikoliz ve anaerobik metabolizmada artış ile karakterizedir.1 Sepsiste artan tümör nekrozis faktör alfa (TNF-α) ve interlökin 6 gibi inflamatuar moleküller, insülin sinyal yolağını negatif yönde etkilemektedir.2
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引用次数: 0
Anesthetic Management in Patients with Epidermolysis Bullosa: Two Case Reports 大疱性表皮松解症患者的麻醉处理:2例报告
Pub Date : 2018-01-01 DOI: 10.5336/ANESTHE.2018-59904
Enes Çelik, Z. Yıldırım, F. Çelik, G. Kavak, M. Bıçak
Epidermolysis bullosa (EB) is a genetic disorder characterized by spontaneous or posttraumatic bullae developed in the skin and mucous membranes. General characteristics of these patients: scars that limit the opening of the mouth, esophageal constriction, dehydration, malnutrition, anemia, hypoalbuminemia, electrolyte imbalance, thrombocytosis, and infections. Lesions that may spread throughout the body in cases with EB may lead to bleeding, scar tissues, contractures and edema, difficult airway, and difficult vascular access. The most important approach in these groups of patients who need anesthesia for treatment and therapeutic interventions is to protect the integrity of skin and mucous membranes, to secure a reliable airway, to prevent the loss of heat and liquid, and to provide efficient perioperative analgesia. In this report, the anesthetic approach for two cases with an EB diagnosis is presented accompanied by the literature.
大疱性表皮松解症(EB)是一种遗传性疾病,其特征是皮肤和粘膜上自发或创伤后出现大疱。这些患者的一般特征:疤痕限制开口、食管收缩、脱水、营养不良、贫血、低白蛋白血症、电解质失衡、血小板增多和感染。EB患者的病变可能遍布全身,可能导致出血、瘢痕组织、挛缩和水肿、气道困难和血管通路困难。在这些需要麻醉进行治疗和治疗干预的患者中,最重要的方法是保护皮肤和粘膜的完整性,确保可靠的气道,防止热量和液体的流失,并提供有效的围手术期镇痛。在本报告中,麻醉方法的两个病例与EB诊断提出了文献。
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引用次数: 1
Günübirlik Ürolojik Cerrahilerde Baska Mask® ve Klasik Laringeal Maske®'nin Sızdırmazlık Basınçları Açısından Karşılaştırılması
Pub Date : 2018-01-01 DOI: 10.5336/ANESTHE.2017-58500
Mustafa Bindal, Ülkü Sabuncu, Aslıhan Demir, A. Özgök
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引用次数: 1
Hastanemizde Sezaryen Sonrası Yoğun Bakım Ünitesine Kabul Edilen Hastaların Retrospektif Analizi
Pub Date : 2018-01-01 DOI: 10.5336/ANESTHE.2018-63393
Osman Uzundere, C. Kaçar, Meral Erdal Erbatur, Bekir Kahveci, A. Yektaş
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引用次数: 0
Fat Embolism Syndrome with Cerebral Involvement in a Multitrauma Patient 多重创伤患者的脂肪栓塞综合征伴大脑受累
Pub Date : 2018-01-01 DOI: 10.5336/anesthe.2018-63902
Omur Ilban, M. Baş, J. Celik, A. Duman
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引用次数: 1
Rejyonal İntravenöz Anestezi ve Aksiller Blok ile Üst Ekstremite Cerrahi Operasyonu Geçirecek Hastalarda Kan Methemoglobin Düzeyinin Karşılaştırılması
Pub Date : 2018-01-01 DOI: 10.5336/ANESTHE.2018-61045
G. Asan, Ahmet Cemil Işbir, Onur Avcı, İclal Özdemir Kol, Kenan Kaygusuz, Sinan Gürsoy
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引用次数: 0
Esmolol in Sepsis 艾司洛尔治疗败血症
Pub Date : 2018-01-01 DOI: 10.5336/anesthe.2018-59965
U. Koca
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引用次数: 0
Plevral Mezotelyoma ve Gebelik
Pub Date : 2018-01-01 DOI: 10.5336/anesthe.2018-61992
Pelin Şen, Denizhan Kara, M. Yıldırım, Zeliha Tuncel, Ayda Türköz
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引用次数: 0
The Use of Rocuronium and Sugammadex on a Patient with Multiple Sclerosis 罗库溴铵和舒格马德在多发性硬化症患者中的应用
Pub Date : 2018-01-01 DOI: 10.5336/anesthe.2018-60428
G. Talih, Ç. Kantekin, T. Talih
Multiple sclerosis (MS) is a chronic inflammatory, demyelinizing autoimmune illness which affects the central nervous system. Stress, surgery, anesthesia, emotional distress, changes in body temperature may lead to an increase in MS symptoms or new attacks in patients in remission. One of the difficulties in the management of anesthesia seen in MS patients is the inability to reverse neuromuscular block early and completely. A 31-year-old female patient (74 kg, 169 cm) who consulted to the general surgery department with abdominal pain was admitted with the diagnosis of cholelithiasis and cholecystectomy was planned. This patient has been diagnosed as MS the age of 19, occasionally had attacks for 12 years and receives interferon-1a treatment. In this case report, a MS patient was presented who underwent laparoscopic cholecystectomy in which muscle relaxation was provided with rocuronium, and whose neuromuscular block was reversed with sugammadex.
多发性硬化症(MS)是一种慢性炎症,脱髓鞘自身免疫性疾病,影响中枢神经系统。压力、手术、麻醉、情绪困扰、体温变化都可能导致多发性硬化症症状的增加或缓解期患者的新发作。多发性硬化症患者麻醉管理的困难之一是无法早期和完全逆转神经肌肉阻滞。患者女,31岁,74公斤,169厘米,腹痛就诊于普外科,诊断为胆石症,拟行胆囊切除术。该患者19岁时被诊断为多发性硬化症,12年来偶尔发作,接受干扰素-1a治疗。在本病例报告中,提出了一名MS患者,他接受了腹腔镜胆囊切除术,罗库溴铵提供肌肉松弛,糖马德逆转神经肌肉阻滞。
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引用次数: 0
Kayseri Eğitim ve Araştırma Hastanesi Anestezi Yoğun Bakım Ünitesinde Takip Edilen Akut Zehirlenme Vakalarının Değerlendirilmesi
Pub Date : 2018-01-01 DOI: 10.5336/anesthe.2017-59163
Dilek Destegül, Ayşe Çapar
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引用次数: 1
期刊
Turkiye Klinikleri Journal of Anesthesiology Reanimation
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