鼻内镜术前麻醉诱发支气管哮喘急性发作3例

目的 :分析鼻内镜术前麻醉诱发支气管哮喘急性发作的原因 ,以提高对伴有哮喘的慢性鼻窦炎患者的围手术期治疗重要性的认识。方法 :对鼻内镜术前麻醉诱发支气管哮喘急性发作的 3例患者进行回顾性分析 ,并复习相关文献。结果 :3例患者均缺乏系统的围手术期治疗 ,且伴有机体的高反应状态和低代偿的肺功能 ,可能因使用可致敏的麻醉药物、器械以及操作刺激等因素而诱发哮喘急性发作。结论 :对此类患者要有充分认识 ,诊治及时、正确 ,规范的围手术期治疗极为重要 ,非急诊应暂缓手术 ,以避免危险性发生。

Acute asthma attacks introduced by anesthesia before nasal endoscopic surgery

Objective:In order to pay our attention to the perioperative treatment before nasal endoscopic surgery.Method:Three patients with asthma accompanied chronic sinusitis were analyzed systemically,who had undergone acute attacks of asthma introduced by anesthesia.Result:Anesthetic drugs and instruments can lead to acute attacks of asthma , because sinusitis with asthma means allergic airway inflammation,broncho-hyperreactivity and lower compensatory pulmonary function.Then all of the 3 cases had missed the preoperative treatment.Conclusion:Anesthetic drugs and instruments can lead to acute attacks of asthma.The perioperative treatment before nasal endoscopic surgery is very important for the prevention of the occurrences of this severe complication .Except emergency, the operation should be can celled for avoiding the acute attack of asthma introduced by anesthesia.