先天性食管闭锁手术的麻醉处理

目的：探讨先天性食道闭锁修补术的合理麻醉处理。方法：回顾性分析我院自1999年以来18例先天性食道闭锁修补术的麻醉处理经过。结果：本组18例患儿均采用气管插管全麻，全部病例术中无1例死亡。术后3例分别因心功能衰竭和严重肺炎死亡，余15例均存活出院。术中有4例患儿出现明显胃胀。通气困难．通过将导管继续送人气管少许或由术者暂时阻断瘘管均可改善通气。本组病例整个手术过程补液速度平均11．6mL/(kg．h)。结论：先天性食道闭锁修补术的合理麻醉处理应包括充分的术前准备、严格的呼吸循环管理及严密的监测。

Anesthetic Management during Esophageal Atresia Repair

Objective: To evaluate the anesthetic management for esophageal atresia repair. Methods: Eighteen neonates have been studied retrospectively who undergoing esophageal atresia repair. Results: Eighteen neonates were all performed under general anesthesia with tracheal intubation. No neonate died during operation, but three of the 18 cases died of severe pneumonia or heart failure post operation, the others was survive. Ventilation difficulties were encountered in 4 cases with tracheoesophageal fistula, adjusting the tracheal tube or holding the fistula by operater to eliminate the problem. The mean liquid speed was 11.6 mL/(kg.h). Conclusions: The keys to anesthetic management for esophageal atresia repair are strict respiration-circulation management, rigorous monitoring, and sufficient preparing is also important.