【摘要】 目的:探讨获得性气管食管瘘的围麻醉期策略和麻醉处理方案。方法:获得性气管食管瘘患者13例,经抗炎、胃肠减压、营养支持治疗后,在静脉全身麻醉下分别行纤维支气管镜诊疗术,部分患者加行外科瘘口修复术,麻醉中根据病例的不同特点,采用个性化的通气策略,监测麻醉疗效。结果:所有患者平稳渡过麻醉期,顺利完成手术。手术时间(21±9)min,苏醒时间(10±3)min。所有患者术后自主呼吸恢复良好。结论:获得性气管食管瘘的患者在麻醉中进行针对性的通气治疗,可取得较好麻醉效果。更多还原

【Abstract】 Objective:To explore a optimization anesthetic strategy and ventilation method for the acquired tracheoesophageal fistula(TEF) cases. Methods:A description of thirteen cases of acquired TEF,after anti-inflammation,stomach and intestines reduced pressure,nutrition support treatment,deployed a personal ventilation scheme during anesthetic stage. and The curative effect of anesthesia was evaluated. Results:All patients crossed the narcotic phase steadily,completed the surgery successfully. Average operation time(21±9)min,average analepsia time(10±3)min. When the operation were over,all patients reverted spontaneously breathing. Conclusion:A personal ventilation scheme is a key point for difficult respiratory management in TEF.更多还原