山东医药Issue(1)：15-16,19,3.DOI:10.3969/j.issn.1002-266X.2015.01.005
合并轻度上呼吸道感染患儿腹腔镜手术全身麻醉的安全性及预后评估
Assessment of safety and prognosis about Iaparoscopic surgery under generaI anesthesia in chiIdren with miId upper respiratory tract infection
摘要
Abstract
Objective To explore the safety and prognosis about laparoscopic surgery under general anesthesia in chil -dren with mild upper respiratory tract infection .Methods Totally 130 cases of pediatric patients were divided into two groups according to medical history:groupⅠ( the children with mild upper respiratory tract infection ) , group Ⅱ( children without upper respiratory tract infection ) .General situation , respiratory complications both in the operation room and before leaving the hospital , postoperative outcomes , length of hospitalization after operation and total hospital costs were observed . Results ①GroupⅠwas significantly less than group Ⅱin age.②The main complications were cough , sputum, SpO2 <95%, axillary temperature(T)≥38 ℃, glossoptosis, breath holding, etc.The detection rate of complications in group Ⅰwere higher than those in group Ⅱexcept the detection rate of postoperative axillary T ≥38℃.Sputum in operation room and cough in wards occurred more in group Ⅰthan in group Ⅱ(all P<0.05).③All of the patients were discharged from hospital under the condition of rehabilitation , no significant difference in the length of hospitalization after operation .While the total costs of hospitalization was higher in group Ⅱthan those in group Ⅰ(P<0.05).Conclusion Mild upper respir-atory tract infection may increase the incidence of respiratory complications in pediatric short elective laparoscopic surgery , but does not affect the prognosis in children .关键词
上呼吸道感染/儿童/腹腔镜手术/并发症Key words
mild upper respiratory tract infection/children/laparoscopic surgery/complications分类
医药卫生引用本文复制引用
任娟娟,王义,唐春春,李娟,张超,朱昭琼..合并轻度上呼吸道感染患儿腹腔镜手术全身麻醉的安全性及预后评估[J].山东医药,2015,(1):15-16,19,3.基金项目
贵州省科技厅社会发展攻关项目（黔科合SY字［2013］3064号）；高层次人才科研条件特助经费（ TZJF－2008年60号）。 （）
