【正文】
病員;④ 對(duì)過(guò)度肥胖、嚴(yán)重胸部創(chuàng)傷、嚴(yán)重肺部疾病及呼吸功能受損接近臨界水平、術(shù)后需充分恢復(fù)肌力的病員;⑤ 長(zhǎng)時(shí)間手術(shù)反復(fù)靜注或持續(xù)靜滴肌松藥的病員。 (莊心良) 參考文獻(xiàn) 1 HelloHansen HS,Bang U,Nielson HK, et al . The accuracy of trainof four monitoring at varying stimulating currents. Anaesthesiology, 1992,76:1992 Ali HH, Utting JE, gray C . Stimulus frequency in the detection of neuromuscular blocks in humans. Br J Anaesth, 1970,42:976 3 Ali HH, Savarese JJ. Monitoring of neuromuscular function. Anesthesiology,1976,45:2164 Mcloy EP, Misakhur RK, Connolly FM,et al,.The influence of the duration of control stimulation on the onset and recovery of neuromuscular block. Anesth Analg, 1995,80:3645 Saitoh Y, Masuda A, Toyooka H,et al. Effect of tetanic stimulation on subsequent trainoffour response at various levels of vecuroniuminduced neuromuscular block. Br J Anaesth,1994,734:166 Dupuis JY, Mastin R, Tessonnnier JM,et al. Clinical assessment of the muscular response to titanic nerve stimulation. Can J Anaesth, 1990,37:3977 Bonsu AK,VikyMogensen J, Fesnando PUE, et al. Relationship of posttetanic count and trainoffour response during intense neuromuscular blockade caused by atracusium. Br J Anaesth, 1987,59:10898 Endfack J, Qstesgaasd D,VikyMogensen J. Double burst stimulation(DBS) :A new pattern of nerve stimulation to indetify nesidual cusasigation . Br J Anaesth,1989,62:2749 VikyMogensen J, Jensen NH,Engkack J,et al. Tactile and visual the trainof four nerve stimulation . Anesthesiology ,1985,63:44010 Fruesgaasd K, VikyMogensen J, Besg H,et al. Tactile evaluation of the response to double burst stimulation decreases,but does not eliminate the problem to postoperative residual paralysis. Acta Anaesthsiol Scand ,1998,42:116811 Donati F, Meistelman C,Plaud B. Vecuronium neuromuscular blockade at the adductor muscles of the larynx and adductor pollicis. Anesthesiology, 1991,74:83312 Rimanial JM, Dhonneus G,Spessyl,et al. A parison of the neuromuscular blocking effects of atracusium,mivacusium and vecunonium on the adductor pollicis and the osticulasis oculi muscle in humans. Anesth Analg 1996,83:80813 Lee GC, Iyengas S, Sgenohiadszky J,et al. Improving the design of muscle relaxants studies. Anesthesiology, 1997,86:4814 Haspei NJN, Masilew R, strang T, et al. Monitoring by accelesomyography: Comparison of the miniaccelograph with the myograph 2000. Br J Anaesth, 1994,72:41115 Kopman AF, Yee PS, Neuman GG, Relationship of the trainof four fade ratio to clinical signo and symptoms of residual paralysis in awake volunteers. Anesthesiology,1997,86:76516 Besg H, VikyMogensen J, Poed J,et al. residual neuromuscular block is a risk factor for postoperative pulmonary plications. Acta Anaesthsiol Scand ,1997,41:1095