摘要
目的探讨压迫气管的巨大甲状腺肿围术期的麻醉处理。方法回顾性分析我院2004—2013年收治的33例气管有压迫的巨大甲状腺肿手术患者的围术期的气道管理。结果所有患者采取气管插管静吸复合麻醉,诱导插管均成功,麻醉维持平稳,术后发生气管软骨软化造成呼吸困难需要气管切开2例,无死亡病例。结论术前对患者的气道进行评估,术中掌握合适的麻醉诱导处理方法 ,对于提高围术期麻醉管理的安全性和有效性,改善患者的临床预后至关重要。
Objective To explore the perioperative anesthesia management of huge goiter that induces trachea compression. Methods The perioperative airway management of 33 cases of huge goiter inducing trachea compression between 2004 and 2013 were ana- lyzed retrospectively. Results All the patients received endotracheal intubation plus combined intravenous and inhalational anes- thesia. Tracheal intubation was accomplished successfully. Anesthesia processing was kept stable. Among the 33 cases, tracheoto- my was performed in only 2 cases due to dyspnea resulted from tracheomalacia. There were no deaths. Conclusion To improve the safety and effectiveness of perioperative airway management and optimize the clinical prognosis, the key steps are to assess patients＇ airway preoperatively, to understand rational management principles and to apply them accordingly.
出处
《临床军医杂志》
CAS
2014年第9期920-922,共3页
Clinical Journal of Medical Officers
关键词
麻醉处理
巨大甲状腺肿
气管压迫
anesthetic management
huge goiter
tracheal compression
