甲状腺疾病围手术期伴发气管痉挛28例分析  

Analysis of 28 patients with perioperative thyroid diseases accompanying with tracheospasm

作　　者：马德奎[1] 黄擎雄[1] 吴志扬[1] 冯平[1] 彭和平[2] 任朝林[3] 

机构地区：[1]肇庆市第一人民医院普通外科,广东肇庆526021 [2]广州医学院第二附属医院肝胆外科,广东广州510260 [3]肇庆医学高等专科学校附院外科,广东肇庆526020

出　　处：《新乡医学院学报》2007年第1期91-92,共2页Journal of Xinxiang Medical University

摘　　要：目的探讨甲状腺疾病围手术期发生气管痉挛的预防和处理对策。方法对28例甲状腺疾病围手术期发生气管痉挛患者的诱因、临床特征、治疗措施及其转归结合文献进行分析。结果28例中,术前发生气管痉挛5例,术中17例,术后6例。抢救成功25例,其中给予气管切开7例,气管插管6例,面罩给氧救治12例;死亡3例。结论气管痉挛是甲状腺疾病伴发的严重并发症,围手术期不同阶段发生的气管痉挛,处理应遵循不同的操作规范。Objective To explore the management of thyroid diseases accompanying with tracheospasm. Methods From February 1996 - February 2006,28 patients with thyroid gland diseases accompanying with brenchospasm were treated, their clinical data were reviewed and analyzed. Results Tracheospasm happened in 5 cases before operation,17 cases during operation and 6 cases after operation. The operations were performed successfully in 25 patients, tracbeotomy, endotracbeal intuhation and oxygen supply by bag-face were 7 patiants,6 patients and 12 patients respectively. In 28 patients with perioperative thyroid disease, there were 3 died. Conclusion The tracheospasm is a critical complication of thyroid diseases, and therapeutic methods should depend on patients＇ situation repectively.

关 键 词：气管痉挛 甲状腺 治疗 

分 类 号：R581[医药卫生—内分泌]