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在成年患有麻醉症的患者中,在食管胃管腺镜/结肠镜检查后,麻醉后出现延迟的出现

Abdelrhman Refaey¹, Ahmed Ebeid¹, Adam Jacob¹

¹Division of Gastroenterology and Liver Disease, Department of Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC.

ACG case reports journal

|January 19, 2026

概括

麻醉症患者在内镜手术过程中可能经历长时间的镇静后propofol麻醉. 彻底的手术前查睡眠障碍至关重要,以防止延迟出现并确保患者的安全.

科学领域:

麻醉学麻醉学
神经学神经学
胃肠病学胃肠病学

背景情况:

由于其有利的药理动力学特征,醇被广泛用于内镜手术中的镇静,如食管胃管腺镜和结肠镜.
延迟从普罗波麻醉中出现是一种不常见但显著的并发症.
神经系统疾病,如麻醉症,可能会影响麻醉的敏感性和恢复.

研究的目的:

在接受内镜手术的未被诊断的麻醉症患者中,报告一例从普罗波麻醉中延迟出现的病例.
强调手术前查麻醉患者睡眠障碍的重要性.

主要方法:

一个病例报告,一名28岁的女性患者经历了食管胃管透镜和结肠镜检查后的延迟出现.
患者接受了利多卡因和普罗波的镇静药物.
诊断工作包括实验室测试和神经成像 (头部CT血管图, perfusion研究).

主要成果:

患者在手术后大约10小时出现了延迟出现的症状.
所有的实验室检测和神经成像结果都不值得注意.
在ICU监测后,患者在没有具体干预的情况下逐渐恢复意识.

结论:

未诊断的麻醉症可以显著改变麻醉剂的敏感性,导致长时间的镇静.
针对睡眠障碍的综合性手术前评估对于那些需要使用基麻醉进行手术的患者来说至关重要.
胃肠科医生和麻醉师之间的密切合作对于管理潜在睡眠障碍患者至关重要.

关键词:

麻醉是一种麻醉.结肠镜检查结肠镜检查延迟出现延迟出现消化道胃肠腺镜检查消化道胃肠腺镜检查麻醉症是一种精神病.普罗波福尔 (Propofol) 是一种

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