中国保健营养（中旬刊）
中國保健營養（中旬刊）
중국보건영양（중순간）
China Hwalth Care & nutrition
2014年
7期
4186-4186
,共1页
剖宫产术%全身麻醉%气管插管失败%喉罩
剖宮產術%全身痳醉%氣管插管失敗%喉罩
부궁산술%전신마취%기관삽관실패%후조
cesarean section%General anesthesia%Endotracheal intubation failure%Laryngeal mask airway
目的：探讨喉罩作为产科全麻气管插管失败后气道管理补救方案的安全性与有效性。方法：回顾性分析我院行气管插管失败后改插喉罩的3例剖宫产手术资料，分析从产妇麻醉开始到手术开始时间，术中生命体征，失血量，麻醉相关并发症，以及胎儿娩出后第1min，5min和第10min的Apgar评分。结果：3例产妇生命体征基本平稳，麻醉效果好，无麻醉并发症。新生儿第1min，5min和第10min的Apgar评分均大于8分。结论：喉罩是行剖宫产全身麻醉气管插管失败时安全有效的补救措施，值得推广。
目的：探討喉罩作為產科全痳氣管插管失敗後氣道管理補救方案的安全性與有效性。方法：迴顧性分析我院行氣管插管失敗後改插喉罩的3例剖宮產手術資料，分析從產婦痳醉開始到手術開始時間，術中生命體徵，失血量，痳醉相關併髮癥，以及胎兒娩齣後第1min，5min和第10min的Apgar評分。結果：3例產婦生命體徵基本平穩，痳醉效果好，無痳醉併髮癥。新生兒第1min，5min和第10min的Apgar評分均大于8分。結論：喉罩是行剖宮產全身痳醉氣管插管失敗時安全有效的補救措施，值得推廣。
목적：탐토후조작위산과전마기관삽관실패후기도관리보구방안적안전성여유효성。방법：회고성분석아원행기관삽관실패후개삽후조적3례부궁산수술자료，분석종산부마취개시도수술개시시간，술중생명체정，실혈량，마취상관병발증，이급태인면출후제1min，5min화제10min적Apgar평분。결과：3례산부생명체정기본평은，마취효과호，무마취병발증。신생인제1min，5min화제10min적Apgar평분균대우8분。결론：후조시행부궁산전신마취기관삽관실패시안전유효적보구조시，치득추엄。
To investigate the safety and feasibility of laryngeal mask airway as alternatives for the failing of endotracheal intubation in cesarean section.Methods:To analyse the data of 3 cases that undergoing cesarean section under general anesthesia retrospectively. Laryngeal mask airway were inserted after endotracheal intubation failure in the 3 cases. To analyse the time from maternal anesthesia start to surgery start, intraoperative vital signs, blood loss, anesthesia related complications, and fetal Apgar score of 1 min, 5 min and 10 min after birth.Results:The vital signs of the 3 cases were stable, The effect of anesthesia is good and there were no complications. The Apgar score of the neonatal in 1 min, 5 min and 10 min were> 8.Conclusion:Laryngeal mask airway is an safe and effective remedy for endotracheal intubation failure in cesarean section.
