国际麻醉学与复苏杂志   2013, Issue (6): 1-1
    
小儿围麻醉期喉痉挛的预防和处理
李瑞萍, 薛富善, 程怡1()
1.中国医学科学院整形外科医院
Prevention and treatment of perianesthetic laryngospasm in children
 全文:
摘要:

背景 围麻醉期喉痉挛是导致明显死亡率和罹患率的急症。与任何他麻醉危象一样,喉痉挛的有效处理需要运用正确的知识、专业技能和团队合作能力。目的 本文的目的是介绍小儿围麻醉期喉痉挛的一些相关知识。内容 本文重点综述了小儿喉痉挛的相关危险因素、病理生理学、诊断、预防和治疗等。趋向 明确高危因素和制定合理的麻醉处理方案是降低小儿喉痉挛发生率和严重性的合理路径。一旦小儿喉痉挛的诊断建立,必须立即进行积极的处理。

关键词: 麻醉;喉痉挛;气道管理;小儿
Abstract:

Perianesthetic laryngospasm is an emergency that can result in significant morbidity and mortality in pediatric patients. Like any other anesthetic crisis, effective management of laryngospasm in children requires the application of appropriate knowledge, technical skills. Objects Aims of this review are to induce the knowledge related to Perianesthetic laryngospasm in children. Contents This article mainly reviews the related risk factors, pathophysiology, diagnosis, prevention and treatment of laryngospasm in children. Trend Identifying the risk factors and planning appropriate anesthetic management is a rational approach to reduce laryngospasm incidence and severity in children. Once the laryngospasm diagnosis in pediatric patients has been made, aggressive management must be immediately initiated.

Key words: Anesthesia; Laryngospasm; Airway management; Children