论文部分内容阅读
目的探讨新生儿先天性腹壁缺损手术的麻醉管理方法。方法选择乌鲁木齐市第一人民医院2012年1月—2016年1月实施新生儿先天性腹壁皮肤缺损修补术患儿19例,对患儿采取气管插管静脉吸入复合麻醉,监测生命体征,术中机械通气,维持血容量;术后保留气管导管,呼吸机支持治疗。结果 1例患儿术中死亡,4例患儿术后放弃治疗,14例治愈出院。结论先天性腹壁缺损的患儿多病情危急,死亡率高,术后并发症多;然而完善的术前准备,良好的呼吸、循环管理及严密的术中监测可以提高患儿的生存率。
Objective To explore the anesthesia management of neonatal congenital abdominal wall defects. Methods The First People’s Hospital of Urumqi from January 2012 to January 2016 implementation of neonatal congenital abdomen skin defect repair in 19 cases of children with tracheal intubation intravenous anesthesia, monitoring vital signs, intraoperative Mechanical ventilation, maintain blood volume; postoperative tracheal catheter, ventilator supportive treatment. Results One patient died during operation, four patients gave up treatment after operation, and 14 patients were cured. Conclusions Children with congenital abdominal wall defects are in critical condition with high mortality rate and many postoperative complications. However, perfect preoperative preparation, good breathing, circulatory management and close intraoperative monitoring can improve the survival rate of children.