全麻复苏期发生严重呼吸并发症相关因素分析与防治新进展  

Survey of risk factors associated with critical respiratory events in the postanesthesia care unit after general anesthesia

作　　者：安小凤 钟泰迪[2] 祁海鸥[2] 

机构地区：[1]浙江省湖州市解放军第九八医院麻醉科,313000 [2]浙江大学医学院附属邵逸夫医院麻醉科

出　　处：《国际麻醉学与复苏杂志》2014年第2期145-148,共4页International Journal of Anesthesiology and Resuscitation

摘　　要：背景术后恢复室（post-anesthesiacareunit，PACU）内发生呼吸并发症是全麻后早期最常见的并发症之一。严重的呼吸并发症甚至需要紧急再插管进行机械通气以纠正低氧血症。目的有效地预防并及时发现和处理可将低氧血症的发生率及危害减少到最低限度。内容研究导致术后呼吸并发症发生所涉及的因素：患者因素包括高龄、吸烟、肥胖以及术前心肺功能障碍等；手术相关因素包括手术部位、手术时长等；麻醉相关因素包括麻醉方式的选择、麻醉药物的使用、术中管理、术后镇痛等。趋向导致术后复苏期严重的呼吸并发症（criticalrespiratoryevents，CRE）可能是一个或多个因素综合作用的结果。需要更深入研究相关的预防措施以及如何改善并发症的转归。Background The postoperative respiratory event is one of the most common complications in the post-anesthesia care unit （PACU） after general anesthesia. Emergent reintubation is needed sometimes for ventilator support. Objective To minimize the damage of hypoxemia by prevention and manegement of respiratory events. Content This article reviews the factors associated with the occurrence of respiratory events in the PACU, including patient factors, surgical factors and anesthesia specific aspects. Trend Considering that postoperative respiratory events may be results from the interaction of several factors, further research is needed.

关 键 词：全麻 麻醉后复苏室 呼吸系统并发症 二次插管 预防 

分 类 号：R614[医药卫生—麻醉学]