摘要
目的提高对悬壅垂腭咽成形术的认识,减少并发症的发生。方法回顾性分析466例悬壅垂腭咽成形术围手术期并发症。结果常见并发症包括腭咽功能不全107例,呼吸障碍31例,高血压危象23例,出血4例,失血性休克1例,伤口裂开8例,鼻咽狭窄1例。结论针对围手术期出现的并发症,预防措施有:术前全面体检,治疗已有的合并症,采用全身麻醉,术中、术后加强监护,术中持续给氧,彻底止血,术后适量应用皮质类固醇药物,重症患者术前一般可行经鼻持续正压通气治疗。
Purpose To minimize the complications of Uvulopalatopharyngoplasty （UPPP）. Methods A retrospective analysis of the perioperative complications of UPPP of 466 eases were conducted. Results The complications included palatal incompetence（ 107 cases）, hypertensive crisis （ 23 cases）, respiratory, embarrassment （ 31 cases）, wound dehiscence （8 eases）, local hemorrhage （4 eases）, hypovolemie shock （1 eases）, nasopharyngeal stenosis （1 eases） and others. Conclusion Regarding to perioperative complications, prevention strategies included：To perform an careful physical examination and treat the complications preoperative. To apply gengeral anesthesia. To monitor ECG, blood pressure and oxygen saturation intraoperative and postoperative. Intraoperative constant oxygen supplement. Careful hemostasia. Proper administration with eortieosteroids postoperative. NCPAP intervention should be applied I^efore UPPP in the severe OSAHS.
出处
《中国眼耳鼻喉科杂志》
2005年第5期297-298,共2页
Chinese Journal of Ophthalmology and Otorhinolaryngology
