CAJ | 학술논문

目的探讨围麻醉期并发支气管痉挛的原因及处理方法。方法对18例围麻醉期并发支气管痉挛患者进行回顾性分析,总结抢救处理方法。结果支气管痉挛的发生与麻醉用药不当有14例,浅麻醉下操作诱发4例。经抢救处理,18例病人病情缓解完成手术,预后良好。结论术前做好麻醉危险因素的评估、充分的术前准备、合理的麻醉方法及麻醉用药、良好的呼吸管理,是降低术中并发支气管痉挛发生率的重要措施,能有效提高围术期安全。
목적탐토위마취기병발지기관경련적원인급처리방법。방법대18례위마취기병발지기관경련환자진행회고성분석,총결창구처리방법。결과지기관경련적발생여마취용약불당유14례,천마취하조작유발4례。경창구처리,18례병인병정완해완성수술,예후량호。결론술전주호마취위험인소적평고、충분적술전준비、합리적마취방법급마취용약、량호적호흡관리,시강저술중병발지기관경련발생솔적중요조시,능유효제고위술기안전。
Objective Discuss the reason and treatment method of anesthesia supervene with bronchospasm.Methods This retrospective review enrolled 9 patients who had an anesthesia supervene with bronchospasm,summary rescue treatment methods.Results Among the 9 patients,bronchospasm happened to 7 cases because of anaesthetic improper use,light anesthesia operation evoked in 2 cases.All 9 patients had relieved and finished the surgery after the rescue treatment,the prognosis is favorable.Conclusion preoperative evaluation of anesthesia risk factors,sufficient preoperative preparation,reasonable anesthesia method and anesthetic use,good breathing management are the most important measures to reduce the bronchospasm incidence rates during the operation,and could improve the perioperative security.