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经口内镜下肌切开术插管全身麻醉并发气胸1例 被引量:1

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摘要 贲门失弛缓症(achalasia)是一种病因未明的食管下段括约肌运动功能障碍性疾病.经口内镜下环形肌切开术(peroral endoscopic myolomy,POEM)是日本学者Inoue等[1]于2010年报道的一种新的治疗贲门失弛缓症的方法,和其他手术一样,POEM术中及术后同样存在发生一定并发症的可能.作者通过阅读文献和实践发现,食管壁肌层分为内层环形肌和外层纵形肌,在POEM术中,一旦用力不当或手法不对,较易切断外层纵形肌,使食管内的气体直接进入纵隔、胸膜腔或腹腔,致纵隔及皮下气肿、气胸、气腹.如气管插管全身麻醉术中出现此并发症,应即时诊断,立即停止操作,通过胸腔穿刺抽气等对症治疗来维持患者生命体征的平稳.
出处 《现代医药卫生》 2013年第20期3199-3200,共2页 Journal of Modern Medicine & Health
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