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72局麻药的中毒反应的原因

多选题
2021-09-03 17:06
A、一次用药超过最大剂量
B、药物误入血管内
C、注射部位血管丰富,或药内未加肾上腺素
D、病人对局麻醉药过敏
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正确答案
A@#@B@#@C@#@D

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72局麻药的中毒反应的原因
患者26岁,女性。因肱骨中段开放性骨折,拟在右臂丛麻醉下行肱骨骨折内固定术。采用左肌间沟入路,在注入1%利多卡因+0.15%丁卡因合剂30ml20分钟后手术开始,患者自诉疼痛,遂又以同样的合剂30ml。5分钟后该患者出现心慌、气促等,很快出现呼吸困难、血压下降、抽搐和昏迷。问(1)局麻药的不良反应有哪些?(2)如果将局麻药注入血管内,患者可发生什么危险?(3)局麻药中毒的常见原因有哪些?(4)早期局麻药中毒的临床表现是什么?(5)轻度局麻药中毒的处理原则是什么?
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