CAJ | 학술논문

目的探讨麻醉后恢复室(PACU)患者常见并发症原因及处理，以保证全麻患者安全恢复。方法回顾性研究分析我院麻醉恢复室自2013年1月~2014年2月的3219例术后患者的恢复情况。结果 PACU并发症发生率为16.8%，组间并发症发生率有差异，并发症因年龄分组而不同，其中并发症以循环不稳定、低氧血症、术后寒颤、躁动、恶心呕吐、苏醒延迟等发生率高。结论患者术后1h最易出现麻醉并发症和意外，应综合分析、祛除病因，原因不明的先采取积极有效的对症处理，在PACU进行观察，可以早期发现和处理，减少术后并发症和死亡率。
목적탐토마취후회복실(PACU)환자상견병발증원인급처리，이보증전마환자안전회복。방법회고성연구분석아원마취회복실자2013년1월~2014년2월적3219례술후환자적회복정황。결과 PACU병발증발생솔위16.8%，조간병발증발생솔유차이，병발증인년령분조이불동，기중병발증이순배불은정、저양혈증、술후한전、조동、악심구토、소성연지등발생솔고。결론환자술후1h최역출현마취병발증화의외，응종합분석、거제병인，원인불명적선채취적겁유효적대증처리，재PACU진행관찰，가이조기발현화처리，감소술후병발증화사망솔。
Objective To investigate the Postanesthetic Recovery Room (PACU)causes of patients with complications and treatment,in order to ensure patient safety recovery of general anesthesia. Methods A retrospective analysis of recovery of anesthesia recovery room from 2013 January~2014 year in February 3219 cases of postoperative patients of our hospital study.Results PACU complication rate was 16.8%,incidence of complications have dif erences between groups,complications for dif erent age groups,the complication of circulatory instability,hypoxemia,postoperative shivering,dysphoria,nausea and vomiting,high incidence of delayed recovery etc.Conclusion The patients after 1h appear the most easily anesthesia complications and accidents,we should comprehensively analyze,dispel pathogeny,unexplained take positive and ef ective symptomatic treatment,were observed in the PACU,early detection and treatment,and reduce the postoperative complications and mortality.