Fassoulaki A, Sarantopoulos C
Department of Anesthesia, St Savas Hospital, Athens, Greece.
Acta Anaesthesiol Belg. 1991;42(3):157-63.
Postoperative complications due to anesthetic technique were assessed in 1220 patients undergoing abdominal, neurosurgical, breast, head and neck operations or other surgical procedures. All patients were interviewed directly for vomiting, sore throat, headache, suxamethonium myalgias, ocular, vascular, nerve complications and awareness, 24 and 48 hours postoperatively. The incidence of vomiting was significantly higher in abdominal (27.2%) versus the extra-abdominal operations (16.2%), (p less than 0.005), overall incidence 17.6%. Spontaneous breathing was associated with lower incidence of vomiting (p less than 0.001), but a higher incidence of sore throat (p less than 0.001), headache (p less than 0.05) and suxamethonium muscle pains (p less than 0.001), versus controlled ventilation. The incidence of ocular complications was 4.7%, of local vascular complications 15.2%, of peripheral nerve problems 0.33% and of awareness 0.16%.
在1220例接受腹部、神经外科、乳腺、头颈手术或其他外科手术的患者中评估了麻醉技术导致的术后并发症。术后24小时和48小时，直接对所有患者进行访谈，询问呕吐、咽痛、头痛、琥珀酰胆碱肌痛、眼部、血管、神经并发症及术中知晓情况。腹部手术患者的呕吐发生率（27.2%）显著高于非腹部手术患者（16.2%），（p<0.005），总体发生率为17.6%。与控制通气相比，自主呼吸与较低的呕吐发生率相关（p<0.001），但咽痛（p<0.001）、头痛（p<0.05）和琥珀酰胆碱肌痛（p<0.001）的发生率较高。眼部并发症发生率为4.7%，局部血管并发症发生率为15.2%，周围神经问题发生率为0.33%，术中知晓发生率为0.16%。
