论文部分内容阅读
目的:总结胃食管反流病并发“哮喘”的患者在静脉麻醉下经食管射频治疗术和在全麻下腹腔镜胃底折叠手术中“哮喘”发作的应对措施。方法:对2008-01/2008-12 200例胃食管反流患者在静脉麻醉下行经食管射频治疗术(100例)和在全麻下腹腔镜胃底折叠术(100例)中的“哮喘”发作患者的处理进行总结。结果:射频治疗术有8例、胃底折叠术有28例患者发生不同程度的“哮喘”。处理措施均为静脉注射糖皮质激素和氨茶碱,胃底折叠术吸入七氟烷,呼吸机正压通气,以上措施无效者加用肾上腺素。结论:胃食管反流患者多有“哮喘”的呼吸道症状,是麻醉的危险因素之一,麻醉医师应高度重视,妥善处理。
OBJECTIVE: To summarize the response of gastroesophageal reflux disease patients undergoing “asthma” by transesophageal radiofrequency catheter ablation and “asthma attack” during laparoscopic fundoproliferation under general anesthesia. Methods: A total of 200 patients with gastroesophageal reflux from January 2008 to December 2008 underwent transesophageal radiofrequency ablation (100 cases) under general anesthesia and 100 cases under general anesthesia for “asthma ”Attack the treatment of patients to be summarized. Results: There were 8 cases of radiofrequency ablation and 28 cases of fundoproliferatosis with varying degrees of “asthma”. Treatment measures are intravenous glucocorticoid and aminophylline, fundoprazole inhalation of sevoflurane, ventilator positive pressure ventilation, the above measures ineffective plus epinephrine. Conclusion: Gastroesophageal reflux patients have respiratory symptoms more than asthma, which is one of the risk factors of anesthesia. Anesthesiologists should attach great importance to proper treatment.