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甲状腺疾病围手术期伴发气管痉挛28例分析
引用本文:马德奎,黄擎雄,吴志扬,冯平,彭和平,任朝林. 甲状腺疾病围手术期伴发气管痉挛28例分析[J]. 新乡医学院学报, 2007, 24(1): 91-92
作者姓名:马德奎  黄擎雄  吴志扬  冯平  彭和平  任朝林
作者单位:1. 肇庆市第一人民医院普通外科,广东,肇庆,526021
2. 广州医学院第二附属医院肝胆外科,广东,广州,510260
3. 肇庆医学高等专科学校附院外科,广东,肇庆,526020
摘    要:
目的探讨甲状腺疾病围手术期发生气管痉挛的预防和处理对策。方法对28例甲状腺疾病围手术期发生气管痉挛患者的诱因、临床特征、治疗措施及其转归结合文献进行分析。结果28例中,术前发生气管痉挛5例,术中17例,术后6例。抢救成功25例,其中给予气管切开7例,气管插管6例,面罩给氧救治12例;死亡3例。结论气管痉挛是甲状腺疾病伴发的严重并发症,围手术期不同阶段发生的气管痉挛,处理应遵循不同的操作规范。

关 键 词:气管痉挛  甲状腺  治疗
文章编号:1004-7239(2007)01-0091-02
收稿时间:2006-08-22
修稿时间:2006-08-22

Analysis of 28 patients with perioperative thyroid diseases accompanying with tracheospasm
MA De-kui, HUANG Qing-xong, WU Zhi-yang,et al. Analysis of 28 patients with perioperative thyroid diseases accompanying with tracheospasm[J]. Journal of Xinxiang Medical College, 2007, 24(1): 91-92
Authors:MA De-kui   HUANG Qing-xong   WU Zhi-yang  et al
Abstract:
Objective To explore the management of thyroid diseases accompanying with tracheospasm.Methods From February 1996 to February 2006,28 patients with thyroid gland diseases accompanying with bronchospasm were treated,their clinical data were reviewed and analyzed.Results Tracheospasm happened in 5 cases before operation,17 cases during operation and 6 cases after operation.The operations were performed successfully in 25 patients,tracheotomy,endotracheal intubation and oxygen supply by bag-face were 7 patients,6 patients and 12 patients respectively.In 28 patients with perioperative thyroid disease,there were 3 died.Conclusion The tracheospasm is a critical complication of thyroid diseases,and therapeutic methods should depend on patients′ situation repectively.
Keywords:tracheospasm  thyroid gland  treatment
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