| 阻塞性睡眠呼吸暂停综合征行全麻手术的风险性 |
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| 引用本文： | 黄晓悫,李万辉,吕志刚,李妮娜,张成永.阻塞性睡眠呼吸暂停综合征行全麻手术的风险性[J].重庆医科大学学报,2007,32(2):199-200,207. |
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| 作者姓名： | 黄晓悫 李万辉 吕志刚 李妮娜 张成永 |
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| 作者单位： | 1. 重庆钢铁集团公司职工总医院耳鼻咽喉-头颈外科,重庆,400080
2. 重庆市第三人民医院耳鼻咽喉-头颈外科,重庆,400015 |
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| 摘 要： | 目的:探讨如何降低阻塞性睡眠呼吸暂停综合征(OSAS)患者围手术期死亡率.方法:总结1例OSAS患者在全麻行悬雍垂腭咽成形术时窒息死亡的教训,并复习相关文献.结果:全麻下行悬雍垂腭咽成形术时,窒息死亡多发生在麻醉诱导期和麻醉恢复期.结论:充分认识OSAS患者行全身麻醉的风险.镇静健忘慢诱导经鼻插管是一种比较好的方法.
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| 关 键 词： | 阻塞性睡眠呼吸暂停综合征 悬雍垂腭咽成形术 麻醉 并发症 |
| 文章编号： | 0253-3626（2007）02-0199-02 |
| 修稿时间： | 2006-07-20 |
Risk of anesthesia operation for obstructive sleep apnea syndrome |
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| HUANG Xiaoque ,et al.Risk of anesthesia operation for obstructive sleep apnea syndrome[J].Journal of Chongqing Medical University,2007,32(2):199-200,207. |
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| Authors: | HUANG Xiaoque |
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| Institution: | Department of Otorhinolaryngology ,the General Hospital, Chongqing Steel and Iron Group Co.Ltd |
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| Abstract: | Objective:To explore the way of diminishing perioperative mortality of patient with obstructive sleep apnea syndrome(OSAS).Methods:The death reason of a patient with OSAS was analyzed and relevant articles were reviewed.Results:Asphyxia death mostly took place during anesthesia induction and convalescence as patients experienced general anesthesia for descending uranostaphyloplasty(uppp).Conclusion:The risk of anesthesia for the patient with OSAS must be fully recognized.Sedation amnesia and slow induction in pernasal intubation was an effective way for the operation. |
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| Keywords: | Obstructive sleep apnea syndrome(OSAS) Uvulopalatopharyngoplasty(UPPP) Anesthesia Complication |
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