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重度阻塞性睡眠呼吸暂停低通气综合征的围手术期处理
引用本文:金蔚,何敏,陈洪列,钱隽,余承瑶,范永强,苏正辉. 重度阻塞性睡眠呼吸暂停低通气综合征的围手术期处理[J]. 中国耳鼻咽喉头颈外科, 2006, 13(6): 414-416
作者姓名:金蔚  何敏  陈洪列  钱隽  余承瑶  范永强  苏正辉
作者单位:广州医学院荔湾医院,耳鼻咽喉科,广东,广州,510170;广州医学院荔湾医院,重症监护室,广东,广州,510170
摘    要:目的探讨重度阻塞性睡眠呼吸暂停低通气综合征(obstructivesleepapneahypopneasyndrome,OSAHS)的围手术期处理。方法回顾分析了40例重度OSAHS患者的手术及并发症。结果治愈10例,显效15例,有效9例,无效6例,总有效率85%。出现呼吸道并发症2例。结论围手术期呼吸道并发症较为凶险,应加强围手术期呼吸道的管理。

关 键 词:阻塞性睡眠呼吸暂停低通气综合征  围手术期医护  手术中并发症
收稿时间:2005-09-14
修稿时间:2005-09-14

Perioperative treatment of patients with severe obstructive sleep apnea hypopnea syndrome
JIN Wei,HE Min,CHEN Honglie,QIAN Juan,YU Chengyao,FAN Yongqiang,SU Zhenghui. Perioperative treatment of patients with severe obstructive sleep apnea hypopnea syndrome[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2006, 13(6): 414-416
Authors:JIN Wei  HE Min  CHEN Honglie  QIAN Juan  YU Chengyao  FAN Yongqiang  SU Zhenghui
Affiliation:1 Department of Otolaryngology,2 Department of ICU,Liwan Hospital of Guangzhou Medical School, Guangzhou,Guangdong,510170,China
Abstract:OBJECTIVE To investigate the perioperative treatment of patients with severe obstructive sleep apnea hypopnea syndrome (OSAHS). METHODS The operative process and complications of 40 OSAHS cases were reviewed. RESULTS There were 10 cases cured, 15 cases significantly improved,9 cases improved,and 6 cases without any improvement. The total effective ratewas 85 %. Respiratory complications occurred in 2 patients. CONCLUSION It is very important to strengthen the respiratory management in the preoperative period.
Keywords:obstructive sleep apnea hypo- pnea syndrome  Perioperative Care  Intraoperative Complications
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