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醫(yī)學(xué)免費(fèi)論文:先天性食道閉鎖手術(shù)的麻醉處理
【摘要】 目的 探討先天性食道閉鎖手術(shù)的麻醉處理。方法 回顧性分析10 例先天性食道閉鎖手術(shù)的麻醉處理過程。結(jié)果 本組10例患兒均采用氣管插管全麻，所有病例術(shù)中無一例死亡，1 例因吻合口瘺術(shù)后第7 天死亡，1 例因誤吸窒息于出院后2 周死亡，其他恢復(fù)良好。術(shù)中10例均出現(xiàn)SpO2 下降，經(jīng)對(duì)癥處理后得以糾正。結(jié)論 先天性食道閉鎖手術(shù)的麻醉在充分的術(shù)前準(zhǔn)備、良好的呼吸循環(huán)管理和嚴(yán)密的術(shù)中監(jiān)測的條件下是可以安全渡過的。
【關(guān)鍵詞】 食道閉鎖;手術(shù);麻醉
Anesthetic management during esophageal atresia repairZHANG Wenbin1, LIN Gaoxiang1, ZHENG Min2, SONG Jianfei2
( 1. Dept. of Anesthesia, Affiliated Hospital of Guilin Medical University， Guangxi Guilin 541001 ，China;
2.Dept. of Cardiothoracic Surgery, Affiliated Hospital of Guilin Medical University, Guangxi Guilin 541001 , China.)
Abstract:Objective: TO evaluate the anesthetic management for esophageal atresia repair. Methods: Ten patients undergoing esophageal atresia repair from 1996 to 2007 were studied retrospectively. Results: Ten patients were all performed under general anesthesia with tracheal intubation. There was no death from operation. Two patients died after operation while other patients recovered well. The cause of death was respiratory failure caused by anastomosis leakage and inspiration. Spo2 decreased during operation of ten patients, and the patients recovered well after related management. Conclusion: The key to anesthetic management for esophageal atresia repair is strict respirartion circulation management and sufficient prepairing is safe醫(yī).學(xué)全.在.線網(wǎng)站m.bhskgw.cn.
Key words:esophageal atresia; operation; anesthesia
先天性食管閉鎖( esophageal atresia，EA) 是一種嚴(yán)重的消化道畸形，多見于早產(chǎn)兒，常伴有食管氣管瘺( tracheoesophageal fistula，TEF)，其發(fā)病率為0.0022%～0.0028%，圍生期病死率較高[1]。此類患兒一經(jīng)確診便須盡快手術(shù)，但存在術(shù)前條件差，麻醉處理難度大等問題。我院自1996～2007年共完成先天性食道閉鎖手術(shù)10 例，麻醉處理較滿意，現(xiàn)報(bào)告如下。
