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[先天性膈疝的麻醉与重症监护。十年发展历程。附21例病例]

[Anesthesia and intensive care of congenital diaphragmatic hernia. 10 years' development. Apropos of 21 cases].

作者信息

Pequegnot C, Lassauge F, Aubert D, Menget A, Barale F

机构信息

Département d'anesthésie-réanimation, Centre hospitalier universitaire de Besançon.

出版信息

Agressologie. 1990 Jan;31(1):56-8.

PMID:2363483
Abstract

A post-operative follow-up in 21 cases of Congenital diaphragmatic hernia (C.D.H.) was carried out on 2 groups of patients. The first consisted in patient treated a long time ago by different anaesthetic methods which were not very precise. The other sample was recent, and a strict anesthetic procedure was used, analgesia and curarization with mechanical ventilation. Post-operative complications decreased on the ratio of 1/7, the intensive care stay being halved. The overwhelming importance of the correct anaesthetic procedure was underlined. An overall survival rate of 76% gives hopes for a better future for patients suffering from this malformation.

摘要

对2组先天性膈疝(C.D.H.)患者进行了21例术后随访。第一组患者是很久以前接受治疗的,采用的是不太精确的不同麻醉方法。另一组样本是近期的,采用了严格的麻醉程序,包括镇痛、肌松以及机械通气。术后并发症的发生率降低了七分之一,重症监护时间减半。强调了正确麻醉程序的至关重要性。76%的总体生存率为患有这种畸形的患者带来了更美好的未来的希望。

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