摘要
目的探讨全麻下经口内镜下隧道术后出现纵膈气肿、气胸的原因及应对措施。方法对经口内镜下隧道手术麻醉中出现纵膈气肿、气胸的4例患者的发病特点、处理方法及预后进行分析。结果经过术中及术后的胸腔穿刺或胸腔闭式引流,4例患者恢复良好,均痊愈出院,其中3例术后入ICU病房,4例患者术后未见麻醉相关并发症。结论经口内镜下隧道手术纵膈气肿、气胸的发生率较高,应及时发现并立即采取胸腔闭式引流、皮下穿刺、保护性通气等应对措施。
Objective To study the causes and treatment measures of mediastinal emphesema and pneumothorax in peroral endoscopic operation under general anesthesia. Methods Feature, treatment and prognosis of four cases of mediastinal emphesema and pneumothorax in peroral endoscopic operation under general anesthesia were analyzed. Results After intraoperative and postoperative treatment such as thoracentesis or thoracic close drainage, all the four patients completely recovered and discharged. Among them three cases were transferred to the ICU ward after operation, there was no anesthesia-related complications happened. Conclusion The incidence of mediastinal emphesema and pneumothorax in peroral endoscopic operation is very high. The key point is to discover it in time and adopt measures such as chest closed drainage, subcutaneous puncture, protective mechanical ventilation immediately.
出处
《哈尔滨医科大学学报》
CAS
北大核心
2013年第6期551-552,556,共3页
Journal of Harbin Medical University
关键词
经口内镜下隧道术
全麻
处理方法
peroral endoscopic operation
general anesthesia
treatment measures
