胃内容物的评估方法

Assessment Method of the Gastric Contents

胃内容物的肺误吸是麻醉中最可怕的并发症之一,有很高的致病率和致死率,所以胃内容物的术前评估成为麻醉过程中必不可少的环节。自主功能测试、禁食指南、鼻胃管或胃镜吸引、影像学检查对胃内容物的评估都有一定帮助,且各有优缺点。其中,胃超声在评估胃内容物上具有很大的优势,被越来越多地应用于临床。

Pulmonary aspiration of gastric contents is one of the most terrible complications in anesthesia, with significant morbidity and mortality, so the preoperative evaluation of gastric contents becomes an essential link in the anesthesia process. Autonomic function tests, fasting guidelines, nasogastric tube or gastroscope attraction, and imaging examination are all helpful in the assessment of gastric contents, each with their own advantages and disadvantages. Among them, gastric ultrasound has great advantages in the evaluation of gastric contents and is increasingly used in clinical practice.