| 阻塞性睡眠呼吸暂停低通气综合征手术治疗的警示 |
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| 引用本文： | 朱冬冬,杨占泉,等.阻塞性睡眠呼吸暂停低通气综合征手术治疗的警示[J].中华耳鼻咽喉科杂志,2002,37(6):422-424. |
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| 作者姓名： | 朱冬冬 杨占泉 |
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| 摘 要： | 目的 探讨行悬雍垂腭咽成形术（uvulopalatopharyngoplasty,UPPP）围手术期易出现的严重并发症的预防和处理。方法 在180例行UPPP及1例行探查止血的阻塞性睡眠呼吸暂停低通气综合征（obstructive sleep apnea hypopnea syndrome,OSAHS)患者中，报告并总结了10例严重并发症的临床资料。结果 UPPP术中发生心绞痛和心肌梗塞各1例；术后发生口咽狭窄3例，继发性出血3例，吞咽反流和开放性鼻音及分泌性中耳炎1例；鼻部探查止血手术中诱导麻醉插管时窒息死亡1例。结论 OSAHS为全身性代谢性疾病，行UPPP手术及其他全身麻醉手术时必须严格掌握手术适应证，加强围手术期治疗并结合个体情况制定手术方案，避免严重并发症。
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| 关 键 词： | 阻塞性睡眠呼吸暂停低通气综合征 睡眠呼吸暂停综合征 外科手术 治疗 并发症 悬雍垂腭咽成形术 |
Avoidance strategies of the surgical treatment of obstructive sleep apnea hypopnea syndrome] |
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| Dongdong Zhu,Zhanquan Yang,Tiening Hou.Avoidance strategies of the surgical treatment of obstructive sleep apnea hypopnea syndrome][J].Chinese Journal of Otorhinolaryngology,2002,37(6):422-424. |
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| Authors: | Dongdong Zhu Zhanquan Yang Tiening Hou |
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| Institution: | Department of Otorhinolaryngology Head and Neck Surgery, China-Japan Union Hospital, Jilin University, Changchun 130031, China. |
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| Abstract: | OBJECTIVE: To discuss the avoidance strategies of severe perioperative complications in surgical treatments of obstructive sleep apnea hypopnea syndrome (OSAHS). METHOD: 180 cases of uvulopalatopharyngoplasty(UPPP) and 1 case of nose bleeding were analyzed, 10 cases of severe complications reported. RESULTS: 1 case of Angina pectoris and 1 case of infarction 3 case of nasopharyngeal stenosis, 3 cases pharyngeal bleeding, 1 case of palatal incompetence, 1 case of death occurred postoperatively. CONCLUSION: OSAHS is a systemic disease syndrome. The perioperative treatments is very important for the prevention of some severe complications occurrence. |
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