新生儿食道闭锁手术的麻醉管理研究

Anesthesia Management of Esophageal Atresia in Neonates

目的分析新生儿食道闭锁手术中的麻醉管理方法。方法选择46例行气管内插管全身麻醉于食道闭锁手术的新生儿,监测其心率、血氧饱和度、平均动脉血压等指标变化,记录患儿手术中出血量、输入液体总量以及尿量等指标,观察患者的转归情况。结果手术中患儿的循环较为平稳,在食管分离中出现血氧饱和度下降现象,术后又恢复正常,有2例患儿出现低温、吻合口瘘并发症,并发症发生率为4.3%。结论做好手术前准备,保持良好的呼吸循环管理对新生儿食道闭锁手术的麻醉具有重要的意义。

Objective To analyze the methods of anesthesia management in the operation of esophageal atresia in neonates. Methods 46 patients who underwent general anesthesia endotracheal intubation in the neonate esophageal atresia surgery,monitoring the heart rate,oxygen saturation,the mean arterial blood pressure changes,recording the index of hemorrhage surgery in children with volume,urine volume and total inputfluid volume and outcome were observed. Results During the operation,the circulation of the patients was relatively stable,and the phenomenon of blood oxygen saturation decreased during the esophageal separation. After operation,the patients recovered to normal. There were 2 cases with low temperature and anastomotic leakage. The complication rate was 4.3%. Conclusion Preoperative preparation,maintaining a good respiratory circulation management of neonatal esophageal atresia surgery has an important significance.