摘要
目的:分析甲状腺手术围手术期发生呼吸困难的原因并总结处理措施。方法:对2003年7月至2013年7月行甲状腺手术的332例患者进行回顾性分析,总结其中10例在围手术期发生呼吸困难的具体原因和处理措施。结果:在甲状腺围手术期出现呼吸困难症状的患者有9例,出现窒息的患者1例;根据发生原因分别采取吸氧、药物雾化吸入、气管插管、气管切开、切口内血肿清除等措施进行治疗,所有患者恢复良好。结论:对甲状腺手术期患者发生呼吸困难的原因要了解掌握,准确判断呼吸困难发生的具体原因并针对其采取有效措施。若无法及时判断发生原因或者采用措施后症状没有明显缓解,可适当放宽行气管切开的指征,首先保证恢复患者气道通畅。
Objective：To analyze the causes of dyspnea during thyroid operation and summarize the corresponding treatment measures .Meth-ods：332 patients, who underwent thyroid operation in our hospital from August, 2003 to August, 2013, were retrospectively analyzed , and the causes of dyspnea and the corresponding treatment measures during perioperation were summarized in 10 cases.Results：9 patients had the symptom of dyspnoea and 1 patient had the symptom of asphyxia during perioperation .They were treated by oxygen inhalation , atomization inhalation , endo-tracheal intubation, tracheotomy and hematoma removal respectively based on the different causes.All the 10 patients recovered well.Conclusion：It is very important to understand and judge the causes of dyspnoea during thyroid operation and treat them properly in time .If timely and exact judgment can not be made or dyspnoea can not be obviously relieved , indications of tracheotomy should be properly broadened to make the patients＆#39;airways function smoothly first of all .
出处
《包头医学院学报》
CAS
2015年第4期46-47,共2页
Journal of Baotou Medical College
