甲状腺疾病围手术期伴发气管痉挛28例分析

Analysis of 28 patients with perioperative thyroid diseases accompanying with tracheospasm

目的探讨甲状腺疾病围手术期发生气管痉挛的预防和处理对策。方法对28例甲状腺疾病围手术期发生气管痉挛患者的诱因、临床特征、治疗措施及其转归结合文献进行分析。结果28例中,术前发生气管痉挛5例,术中17例,术后6例。抢救成功25例,其中给予气管切开7例,气管插管6例,面罩给氧救治12例;死亡3例。结论气管痉挛是甲状腺疾病伴发的严重并发症,围手术期不同阶段发生的气管痉挛,处理应遵循不同的操作规范。

Objective To explore the management of thyroid diseases accompanying with tracheospasm. Methods From February 1996 - February 2006,28 patients with thyroid gland diseases accompanying with brenchospasm were treated, their clinical data were reviewed and analyzed. Results Tracheospasm happened in 5 cases before operation,17 cases during operation and 6 cases after operation. The operations were performed successfully in 25 patients, tracbeotomy, endotracbeal intuhation and oxygen supply by bag-face were 7 patiants,6 patients and 12 patients respectively. In 28 patients with perioperative thyroid disease, there were 3 died. Conclusion The tracheospasm is a critical complication of thyroid diseases, and therapeutic methods should depend on patients＇ situation repectively.