Suppr超能文献

尼日利亚埃努古小儿肠梗阻急诊剖腹手术的麻醉综述

A review of anaesthesia for emergency laparotomy in paediatric intestinal obstruction in Enugu, Nigeria.

作者信息

Okafor Ugochukwu Vincent, Azike Jerome

机构信息

Department of Anaesthesia, University of Nigeria Teaching Hospital (UNTH), Enugu, Nigeria.

出版信息

Pan Afr Med J. 2009 Oct 16;3:7.

Abstract

BACKGROUND

To review the anaesthetic management and outcome for emergency laparotomy for paediatric intestinal obstruction in the University of Nigeria Teaching Hospital, Enugu, Nigeria.

METHODS

The anaesthetic charts and folders of pediatric patients that had emergency laparotomy for intestinal obstruction in the general operating theatre of the University of Nigeria Teaching Hospital (UNTH), Enugu, Nigeria, from October 2007 - September 2008 were reviewed. The records were examined for anaesthetic technique, patient primary diagnosis, intra-operative events, blood and fluid therapy and patient outcome. Patients above thirteen years were excluded.

RESULTS

Forty-four out of 285 (15.7%) paediatric patients underwent emergency laparotomy for intestinal obstruction in the general operating theatre. There were 29 males and 15 females. The average age of the patients was 3.75 years. There were a total of 1674 anesthetics in the general operating theatre during the study. The leading causes of intestinal obstruction in this study were typhoid peritonitis (14 or 31.8%), intussusceptions (14 or 31.8%) and congenital anomalies (11 or 25%). Six patients (13%) had a preoperative packed cell volume of less than 30%, while ten patients received intra-operative blood transfusion (21.7%). There was one anesthetic death to give a case mortality rate of 2.2%.

CONCLUSION

The mortality rate in this study shows the importance and relevance of trained providers of anaesthesia managing paediatric patients in the developing world. Early presentation of patients allowed time for resuscitation and fewer complications before surgery.

摘要

背景

回顾尼日利亚埃努古尼日利亚大学教学医院小儿肠梗阻急诊剖腹手术的麻醉管理及结果。

方法

回顾2007年10月至2008年9月在尼日利亚埃努古尼日利亚大学教学医院(UNTH)普通手术室因肠梗阻接受急诊剖腹手术小儿患者的麻醉记录和病历夹。检查记录中的麻醉技术、患者初步诊断、术中情况、血液及液体治疗和患者结局。排除13岁以上患者。

结果

285例小儿患者中有44例(15.7%)在普通手术室因肠梗阻接受急诊剖腹手术。其中男性29例,女性15例。患者平均年龄为3.75岁。研究期间普通手术室共进行了1674例麻醉。本研究中肠梗阻的主要原因是伤寒性腹膜炎(14例,占31.8%)、肠套叠(14例,占31.8%)和先天性异常(11例,占25%)。6例患者(13%)术前红细胞压积低于30%,10例患者术中接受输血(21.7%)。有1例麻醉死亡,病例死亡率为2.2%。

结论

本研究中的死亡率表明在发展中国家训练有素的麻醉医护人员管理小儿患者的重要性和相关性。患者尽早就诊可为术前复苏争取时间并减少并发症。

相似文献

2
Anaesthesia for uterine rupture in a Nigerian teaching hospital: maternal and fetal outcome.
Int J Obstet Anesth. 2006 Apr;15(2):124-8. doi: 10.1016/j.ijoa.2005.10.009. Epub 2006 Feb 20.
4
Neonatal intestinal obstruction in Zaria, Nigeria.
East Afr Med J. 2000 Sep;77(9):510-3. doi: 10.4314/eamj.v77i9.46702.
6
Ileal perforation due to typhoid fever - review of operative management and outcome in an urban centre in Nigeria.
Int J Surg. 2013;11(3):218-22. doi: 10.1016/j.ijsu.2013.01.014. Epub 2013 Feb 9.
7
Neonatal intestinal obstruction in Benin, Nigeria.
Afr J Paediatr Surg. 2009 Jul-Dec;6(2):98-101. doi: 10.4103/0189-6725.54772.
8
Anaesthetic management of patients with pre-eclampsia/eclampsia and perinatal outcome.
J Matern Fetal Neonatal Med. 2009 Aug;22(8):688-92. doi: 10.1080/14767050902994473.
9
Typhoid perforation: Post-operative Intensive Care Unit care and outcome.
Afr J Paediatr Surg. 2016 Oct-Dec;13(4):175-180. doi: 10.4103/0189-6725.194664.

本文引用的文献

1
Challenges in critical care services in Sub-Saharan Africa: perspectives from Nigeria.
Indian J Crit Care Med. 2009 Jan-Mar;13(1):25-7. doi: 10.4103/0972-5229.53112.
2
Pro: anesthesia for children in the developing world should be delivered by medical anesthetists.
Paediatr Anaesth. 2009 Jan;19(1):35-8. doi: 10.1111/j.1460-9592.2008.02842.x.
4
Intravenous postoperative fluid prescriptions for children: a survey of practice.
BMC Surg. 2008 Jun 9;8:10. doi: 10.1186/1471-2482-8-10.
5
Colostomy for large bowel anomalies in children: a case controlled study.
Int J Surg. 2007 Aug;5(4):273-7. doi: 10.1016/j.ijsu.2007.01.008. Epub 2007 Feb 3.
6
Anaesthesia services in developing countries: defining the problems.
Anaesthesia. 2007 Jan;62(1):4-11. doi: 10.1111/j.1365-2044.2006.04907.x.
7
Perioperative fluid therapy in children: a survey of current prescribing practice.
Br J Anaesth. 2006 Sep;97(3):371-9. doi: 10.1093/bja/ael185. Epub 2006 Jul 27.
8
Deaths associated with anaesthesia in Togo, West Africa.
Trop Doct. 2005 Oct;35(4):220-2. doi: 10.1258/004947505774938666.
9
Childhood intestinal obstruction in Northwestern Nigeria.
West Afr J Med. 2004 Oct-Dec;23(4):314-8. doi: 10.4314/wajm.v23i4.28147.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验