56例小儿扁桃体腺样体手术麻醉苏醒期并发症的分析

目的对小儿扁桃体腺样体手术麻醉苏醒期的并发症的影响因素进行分析，并探讨预防和减少其发生的措施。方法选取扁桃体和腺样体切除手术的患几56例，收集其手术和麻醉资料，观察患儿与麻醉、手术、治疗药物等因素有关的并发症发生的情况，分析和统计引起患儿手术麻醉苏醒期并发症的影响因素。结果术后麻醉苏醒的并发症的有17例；其中麻醉苏醒期的并发症与手术有直接关系的为4例；麻醉相关并发症11例；治疗药物相关并发症2例。结论麻醉方式、手术操作、治疗药物等因素均可以影响小儿扁桃体腺样体手术麻醉苏醒期并发症的发生。手术前的充分准备，手术和麻醉过程对咽峡部水肿的处理，术中认真操作、气管导管拔出时机的恰当选择对预防和减少小儿扁桃体腺样体手术麻醉苏醒期并发症的发生是比较有效的。

Analysis of the Complications of Anesthesia Analepsia Period of Children with Adenoid and Tonsil Operation in 56 cases

Objective To analyze the factors which influence children with adenoid and tonsil operation anesthesia complications, and to discuss how to prevent and reduce the occurrence of measures. Methods Children with tonsil and adenoid resection operation in 56 cases, collecting the data operation and anesthesia, and anesthesia complications were observed, operation, treatment and other factors related to the case, analysis and statistics of the factors influencing the recovery period of complications of anesthesia operation. Results There were 17 cases of recovery from anesthesia complications after operation; which is directly related to complications of operation and anesthesia recovery period in 4 cases; 11 cases of complications of anesthesia; 2 cases of drug treatment related complications. Conclusion Anesthesia, operation, treatment and other factors can influence the occurrence of complications of anesthesia recovery period of children with adenoid and tonsil operation. Full preparation before operation, processing operation and anesthesia of pharyngeal isthmus edema, intraoperative careful operation, tracheal extubation proper choice of time is more effective to prevent and reduce the infantile adenoid and tonsil operation anesthesia complications.