儿童先天性心脏病介入治疗术中不良事件与麻醉管理分析

发布时间：2018-06-07 16:26

本文选题：先天性心脏病 + 介入治疗　；参考：《重庆医科大学学报》2015年09期

【摘要】：目的:从围术期麻醉管理角度分析儿童先天性心脏病介入治疗术中不良事件和麻醉管理安全性关系,试图提出相应的预防措施和建议。方法:回顾性分析不同麻醉方法(静脉全麻、喉罩静吸复合全麻和气管插管全麻)下1 792例介入治疗术中出现不良事件的类型、发生率、死亡原因及处理等。对可以预知的麻醉高危因素加以强化管理,降低麻醉相关不良事件。结果:麻醉相关因素引起的不良事件发生率为3.63%(65/1792),经及时处理后好转,不影响患儿预后。手术相关不良事件发生率为2.40%(43/1792),其中死亡4例,总死亡率为0.22%。3种麻醉方法中静脉全麻组不良事件发生率最高(12.6%,P=0.000),且危险性高。结论:术前根据患儿不同的病情和生理状况,选择合适的麻醉管理方案,对可以预知的高危因素加以强化,制定合理的应急处理方案。有效的围术期监测及科室团结协作可以降低先心病介入治疗术中不良事件的发生率。
[Abstract]:Objective: to analyze the relationship between adverse events during interventional treatment of congenital heart disease and safety of anesthesia management in children with congenital heart disease from the perspective of perioperative anesthesia management, and to put forward corresponding preventive measures and suggestions. Methods: the types, incidence, causes of death and management of 1792 cases of adverse events in interventional treatment under different anesthesia methods (intravenous general anesthesia, laryngeal mask combined with general anesthesia and tracheal intubation general anesthesia) were retrospectively analyzed. To strengthen the management of predictable high risk factors of anesthesia and reduce the adverse events related to anesthesia. Results: the incidence of adverse events caused by anaesthesia related factors was 3.63% to 65% 1792%. The incidence of adverse events related to surgery was 2.40% / 1792%, of which 4 cases died. The total mortality rate was 0.22.3. The incidence of adverse events in intravenous general anesthesia group was the highest (12.6%), and the risk was high. Conclusion: according to the different condition and physiological condition of the children before operation, the appropriate anesthetic management scheme is selected, the predictable high risk factors are strengthened, and the reasonable emergency treatment scheme is established. Effective perioperative monitoring and cooperation can reduce the incidence of adverse events during interventional therapy of congenital heart disease.
【作者单位】：南京医科大学附属南京儿童医院麻醉科;
【分类号】：R726.1

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