中国耳鼻咽喉头颈外科2017，Vol.24Issue(10)：536-539,4.DOI:10.16066/j.1672-7002.2017.10.011
阻塞性睡眠呼吸暂停低通气综合征术后延迟拔管并发症分析
Clinical analysis of complications in OSAHS patients with delayed extubation after surgery
摘要
Abstract
OBJECTIVE To analyze the varieties,causes and preventions of severe complications in OSAHS patients with delayed extubation after surgery.METHODS The clinical dates of 548 OSAHS patients with delayed extubation after surgery were retrospectively analyzed,in order to explore the incidence,reasons,and the prevention and control of severe complications.RESULTS There were 14 cases with severe complications in 548 OSAHS patients,including 1 case of septicemia,one case of nasal alar scar formation,one case of cerebral infarction,2 cases of massive hemorrhage,2 cases of tube dislocation,2 cases of ventilator resistance,2 cases of apnea,3 cases of ventilator-associated pneumonia.All of the14 cases recovered after dealing with the corresponding measures.No dead happened.CONCLUSION The incidence of complications in OSAHS patients with delayed extubation is relatively high.In order to improve the prognosis,more attentions should be paid to the airway care and manipulation in the course of treatment.When the complications happened,corresponding treatments should be done in time.If the patients' respiratory function and airway patency were normal,extubation as early as possible could reduce the incidence of complications.关键词
睡眠呼吸暂停,阻塞性/插管法,气管内/手术后并发症/延迟拔管/防治措施Key words
Sleep Apnea, Obstructive/Intubation,Intratracheal/Postoperative Complications/delayed airway extubation/prevention and control引用本文复制引用
包卫亮,唐世雄,王耀文,程鹏,卿菁,欧阳天斌,陈旭东..阻塞性睡眠呼吸暂停低通气综合征术后延迟拔管并发症分析[J].中国耳鼻咽喉头颈外科,2017,24(10):536-539,4.基金项目
宁波市科学技术局社发攻关项目(201401C50092) （201401C50092）
