摘要
目的:分析我国气管肿瘤手术病人的临床资料,总结该类病人的麻醉处理方式。方法:检索中文期刊全文数据库、中国生物医学文献数据库,收集2001年至2011年报道的气管肿瘤手术病例30例。分析该类疾病的临床症状,辅助检查,麻醉方式,治疗及转归。结果:我国报道的气道肿瘤患者以青中年男性为主,早期常被误诊为哮喘,确诊时多已存在不同程度呼吸困难症状;辅助检查是胸部CT与纤支镜相结合;术中麻醉通气方式主要根据患者症状和肿瘤的位置决定,术后多在手术室拔除气管导管,预后均可。结论:术前的正确评估,麻醉插管方法的正确选用,术中及术后加强监护等围麻醉期处理是手术成功的重要保障。
Objective： To analysis the clinical data of operative patient with tracheal carcinoma and sum up the anesthesia management of them. Methods： thirty cases of operative patient with tracheal carcinoma which reported in China from January 2001 to November 2011 were reviewed and analyzed. Results： tracheal carcinoma occurred mostly in males,youth or mid-life,which used to be misdiagnosed as asthma in the early days.when they were diagnosed, most of them had aready appeared different degree of difficulty breathing. It had better to be examined by Bronchofiberscope with CT.according to sign or symptom of patient and carcinoma sites,they choosed proper anesthesia intubation,and most of them extubated in operating room.Conclusion： It is significant to be aware of preoperative evaluation ,proper anesthesia intubation,and intensive monitoring in operation or postoperation.
出处
《求医问药（下半月刊）》
2012年第4期501-502,共2页
Seek Medical and Ask The Medicine
关键词
气道肿瘤
手术
麻醉
tracheal carcinoma
operation
anesthesia
