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医学免费论文:先天性食道闭锁手术的麻醉处理
【摘要】 目的 探讨先天性食道闭锁手术的麻醉处理。方法 回顾性分析10 例先天性食道闭锁手术的麻醉处理过程。结果 本组10例患儿均采用气管插管全麻，所有病例术中无一例死亡，1 例因吻合口瘘术后第7 天死亡，1 例因误吸窒息于出院后2 周死亡，其他恢复良好。术中10例均出现SpO2 下降，经对症处理后得以纠正。结论 先天性食道闭锁手术的麻醉在充分的术前准备、良好的呼吸循环管理和严密的术中监测的条件下是可以安全渡过的。
【关键词】 食道闭锁;手术;麻醉
Anesthetic management during esophageal atresia repairZHANG Wenbin1, LIN Gaoxiang1, ZHENG Min2, SONG Jianfei2
( 1. Dept. of Anesthesia, Affiliated Hospital of Guilin Medical University， Guangxi Guilin 541001 ，China;
2.Dept. of Cardiothoracic Surgery, Affiliated Hospital of Guilin Medical University, Guangxi Guilin 541001 , China.)
Abstract:Objective: TO evaluate the anesthetic management for esophageal atresia repair. Methods: Ten patients undergoing esophageal atresia repair from 1996 to 2007 were studied retrospectively. Results: Ten patients were all performed under general anesthesia with tracheal intubation. There was no death from operation. Two patients died after operation while other patients recovered well. The cause of death was respiratory failure caused by anastomosis leakage and inspiration. Spo2 decreased during operation of ten patients, and the patients recovered well after related management. Conclusion: The key to anesthetic management for esophageal atresia repair is strict respirartion circulation management and sufficient prepairing is safe医.学全.在.线网站www.med126.com.
Key words:esophageal atresia; operation; anesthesia
先天性食管闭锁( esophageal atresia，EA) 是一种严重的消化道畸形，多见于早产儿，常伴有食管气管瘘( tracheoesophageal fistula，TEF)，其发病率为0.0022%～0.0028%，围生期病死率较高[1]。此类患儿一经确诊便须尽快手术，但存在术前条件差，麻醉处理难度大等问题。我院自1996～2007年共完成先天性食道闭锁手术10 例，麻醉处理较满意，现报告如下。
