CAJ | 학술논문

目的：观察合并轻度上呼吸道感染患儿行腹腔镜手术全身麻醉的安全性及预后情况。方法将130例拟行腹腔镜手术的患儿分成两组，Ⅰ组28例为术前轻度上呼吸道感染，Ⅱ组102例为非上呼吸道感染。观察患儿的一般情况、术后手术室内及术后病房内呼吸系统并发症、转归、术后住院时间及住院总费用。结果Ⅰ组年龄显著小于Ⅱ组（P＜0．05）。主要并发症为咳嗽、多痰、SpO2＜95％、体温≥38℃、舌后坠、屏气等。其中术后体温≥38℃的检出率Ⅱ组略高于Ⅰ组，其他症状检出率Ⅰ组均高于Ⅱ组。手术室内多痰和病房内咳嗽的发生率Ⅰ组高于Ⅱ组（P＜0．05）。患儿均康复出院，术后住院时间无统计学差异，Ⅱ组住院总花费高于Ⅰ组（P＜0．05）。结论轻度上呼吸道感染会增加小儿择期短小腹腔镜手术呼吸系统并发症的发生，但不影响患儿的预后。
목적：관찰합병경도상호흡도감염환인행복강경수술전신마취적안전성급예후정황。방법장130례의행복강경수술적환인분성량조，Ⅰ조28례위술전경도상호흡도감염，Ⅱ조102례위비상호흡도감염。관찰환인적일반정황、술후수술실내급술후병방내호흡계통병발증、전귀、술후주원시간급주원총비용。결과Ⅰ조년령현저소우Ⅱ조（P＜0．05）。주요병발증위해수、다담、SpO2＜95％、체온≥38℃、설후추、병기등。기중술후체온≥38℃적검출솔Ⅱ조략고우Ⅰ조，기타증상검출솔Ⅰ조균고우Ⅱ조。수술실내다담화병방내해수적발생솔Ⅰ조고우Ⅱ조（P＜0．05）。환인균강복출원，술후주원시간무통계학차이，Ⅱ조주원총화비고우Ⅰ조（P＜0．05）。결론경도상호흡도감염회증가소인택기단소복강경수술호흡계통병발증적발생，단불영향환인적예후。
Objective To explore the safety and prognosis about laparoscopic surgery under general anesthesia in chil -dren with mild upper respiratory tract infection .Methods Totally 130 cases of pediatric patients were divided into two groups according to medical history:groupⅠ( the children with mild upper respiratory tract infection ) , group Ⅱ( children without upper respiratory tract infection ) .General situation , respiratory complications both in the operation room and before leaving the hospital , postoperative outcomes , length of hospitalization after operation and total hospital costs were observed . Results ①GroupⅠwas significantly less than group Ⅱin age.②The main complications were cough , sputum, SpO2 <95%, axillary temperature(T)≥38 ℃, glossoptosis, breath holding, etc.The detection rate of complications in group Ⅰwere higher than those in group Ⅱexcept the detection rate of postoperative axillary T ≥38℃.Sputum in operation room and cough in wards occurred more in group Ⅰthan in group Ⅱ(all P<0.05).③All of the patients were discharged from hospital under the condition of rehabilitation , no significant difference in the length of hospitalization after operation .While the total costs of hospitalization was higher in group Ⅱthan those in group Ⅰ(P<0.05).Conclusion Mild upper respir-atory tract infection may increase the incidence of respiratory complications in pediatric short elective laparoscopic surgery , but does not affect the prognosis in children .