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| 先天性食道闭锁手术的麻醉处理 | |
| 引用本文： | 张文斌,林高翔,郑民,宋剑非. 先天性食道闭锁手术的麻醉处理[J]. 泰山医学院学报, 2009, 30(4): 270-272 |
| 作者姓名： | 张文斌 林高翔 郑民 宋剑非 |
| 作者单位： | 1. 广西桂林医学院附属医院麻醉科,广西,桂林,541001 2. 广西桂林医学院附属医院胸心外科,广西,桂林,541001 |
| 摘 要： | 目的探讨先天性食道闭锁手术的麻醉处理。方法回顾性分析10例先天性食道闭锁手术的麻醉处理过程。结果本组10例患儿均采用气管插管全麻，所有病例术中无一例死亡，1例因吻合口瘘术后第7天死亡，1例因误吸窒息于出院后2周死亡，其他恢复良好。术中10例均出现SpO2下降，经对症处理后得以纠正。结论先天性食道闭锁手术的麻醉在充分的术前准备、良好的呼吸循环管理和严密的术中监测的条件下是可以安全渡过的。 |
| 关 键 词： | 食道闭锁 手术 麻醉 |
Anesthetic management during esophageal atresia repair |
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| ZHANG Wen-bin,LIN Gao-xiang,ZHENG Min,SONG Jian-fei. Anesthetic management during esophageal atresia repair[J]. Journal of Taishan Medical College, 2009, 30(4): 270-272 | |
| Authors: | ZHANG Wen-bin LIN Gao-xiang ZHENG Min SONG Jian-fei |
| Affiliation: | ZHANG Wen-bin , LIN Gao-xiang , ZHENG Min, SONG Jian-fei ( 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. Resuhs： 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. |
| Keywords: | esophageal atresia operation anesthesia |
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