针刺麻醉下总气管部分切除吻合术

TRACHEAL RESECTION AND ANASTOMOSIS UNDER ACUPUNCTURE ANESTHESIA

本文报告三例针刺麻醉下总气管手术,总气管肿瘤切除一例,外伤性气管瘢痕狭窄切除及气管吻合二例。针刺麻醉在这种手术治疗中,有一定的优点,能够减少术后肺部并发症,有利于病人的术后康复。同时推荐采用肠线连续褥式外翻缝合方法作气管吻合术。

A report of three cases of tracheal resection and anastomosis under acupuncture anesthesia is reported.In one case a cystic basal cell carcinoma of the trachea was resected.In two other cases segments of post-tramatic stenosis of the trachea were resected and reanastomosis of the trachea was done.The acupuncture anesthesia supplemented with sedatives was very satisfactory during the operative procedure and the postoperative recovery was unusually smooth in all three cases.The tracheal anastomosis was accomplished with continuous mattress sutures of catgut(3-0).The partial tracheactomy wound in the first case and anastomosis in the other two cases all healed well