先天性食管闭锁和气管食管瘘麻醉及围手术期管理  

Anesthesia and Perioperative Management for Congenital Esophageal Atresia and Tracheoesophageal Fistula

作　　者：莫丽平[1] 冯继峰[1] 郑剑秋[1] 彭伟[1] 苏乃伟[2] 

机构地区：[1]广西壮族自治区妇幼保健院麻醉科,广西南宁530003 [2]广西壮族自治区妇幼保健院外科,广西南宁530003

出　　处：《现代生物医学进展》2012年第34期6740-6742,6758,共4页Progress in Modern Biomedicine

摘　　要：目的:探讨先天性食管闭锁和气管食管瘘(EA/TEF)的麻醉及围手术期管理方法。方法:回顾性分析40例手术治疗的新生儿EA/TEF的临床资料。总结麻醉及围手术期管理及转归情况。结果:40例麻醉过程较平稳顺利完成手术,3例术后拔管,37例继续呼吸支持。术后死亡7例,其中4例术后死亡,3例术后监护人放弃治疗出院后死亡。活33例中重症肺炎7例,低体温8例,吻合口瘘5例,切口感染2例,均经治疗后痊愈出院。结论:良好的麻醉及围术期管理是EA/TEF手术治疗的重要组成部分,是手术顺利进行及术后成功的关键。Objective： To explore anesthesia and perioperative management method forcongenitalesophageal atresia and tracheoesophageal fistula（EA/TEF）.Methods： The clinical data of 40 patients with EA/TEF Underwent surgery were analyzed retrospectively.Anesthesia and perioperative management and development of them were summarized.Results： All cases were successfully finished anesthesia operation,3 cases postoperative had tube drew out,37 cases went on with breathing support.33 survived and 7 patients died.7 patients postoperative had severe pneumonia,8 had hypothermia,5 had anastomotic leak,2 had infection of incision,but all patients were recovered by after treatment.Conclusion： The key to improve the success rate is that good anesthesia and perioperative management in EA/TEF.

关 键 词：新生儿 食管闭锁 麻醉 围手术期 

分 类 号：R614.2[医药卫生—麻醉学]