摘要
目的对鼾症手术围麻醉期各个环节危险性进行分析,为临床提供经验。方法采用回顾性调查方法,将我院78例鼾症手术患者分为小儿组42例和成年组36例,对术前合并症、缺氧程度及围术期相关处理列表统计。结果小儿术前绝大部分轻度缺氧95.24%,气管插管困难及复苏期重新插管率各4.76%,成年术前中度缺氧61.11%、重度16.67%,气管插管困难22.22%,复苏期重新气管插管11.11%、气管切开5.56%。结论小儿鼾症手术围麻醉期安全性高,而成年人由于病程长、术前缺氧严重、合并症多、手术创伤大,围麻醉期风险性大。
Objective This study was to investigate perianesthetic risk of patients with snoring disease during operation, for better clinical management. Methods The retrospective analysis of 78 patients consisted of 42 children and 36 adults, diagnosed as snoring disease by sleep study or clinical evaluation. The complications and hypoxia extent prior to operation and perioperative managements were listed. Results Children group： mild hypoxia 95.24%, difficult intubatton and reintubatton during recovery 4.76% respectively. Adult group： moderate hypoxia 61.11%, severe hypoxia 16. 67%, difficult intubatton 22.22%, reintubatton 11.11% and tracheotomy 5.56% during recovery. Conclusion The security of perianeasthesia was higher in children gruoup than in adult group because of the long course of disease, serious complications, severity of hypoxia, serious trauma of operation in adult group.
出处
《现代医院》
2006年第2期19-20,共2页
Modern Hospitals
