先天性Ⅲ型食管闭锁新生儿麻醉管理二例  

Anesthetic management of two neonates with congenital typeⅢesophageal atresia

作　　者：鲁月 张明[1] 成黎明[1] LU Yue;ZHANG Ming;CHENG Li-ming(Department of Anesthesiology,Children's Hospital Affiliated to Kunming Medical University,Kunming 650228,Yunnan,CHINA)

机构地区：[1]昆明医科大学附属儿童医院麻醉科,云南昆明650228

出　　处：《海南医学》2024年第17期2539-2542,共4页Hainan Medical Journal

基　　金：昆明医科大学面上项目(编号:202201AY070001-207)。

摘　　要：先天性食管闭锁新生儿未经治疗出生后数日即死亡,因此明确诊断后应尽早施行手术纠治畸形。如何减轻腹部胀气、反流误吸对呼吸、循环稳定性的影响,是麻醉医生在此类患儿手术中应重点关注的问题,但管理方式目前少见报道。本文通过报道2例食管闭锁患儿麻醉管理的具体方法,以期进一步认识食管闭锁患儿的特殊性并为临床麻醉管理方法提供参考。As the newborns with congenital esophageal atresia die within a few days after birth without treatment,operation should be performed as soon as possible after a definite diagnosis.How to reduce the effects of abdominal flatulence and reflux aspiration on the stability of respiration and circulation is a problem that anesthesiologists should pay attention to during the operation of such children,but the management methods were rarely reported.This article reported the specific methods of anesthesia management in two children with esophageal atresia,in order to further understand the particularity of children with esophageal atresia and provide reference for anesthetic management in clinic.

关 键 词：新生儿 Ⅲ型食管闭锁 麻醉管理 

分 类 号：R722[医药卫生—儿科]