Mayhew J F, Bourke D L, Guinee W S
Department of Anesthesiology, Arkansas Children's Hospital, Little Rock.
Can J Anaesth. 1987 Nov;34(6):627-31. doi: 10.1007/BF03010525.
We reviewed anaesthetic records of 35 infants with a history of prematurity, who presented for elective herniorrhaphy. We applied a scoring system to help evaluate risk of postoperative complications. Six patients experienced postoperative complications. All six patients had a score of five or more and gave history of either apnoea or a history of moderate bronchopulmonary dysplasia. A preoperative history of apnoea and/or moderate bronchopulmonary dysplasia appear to be valuable markers for postoperative complications. A conceptual age of 40 weeks is an acceptable lower limit of age providing there is no history of apnoea or pulmonary disease.
我们回顾了35例有早产史、接受择期疝修补术的婴儿的麻醉记录。我们应用了一个评分系统来帮助评估术后并发症的风险。6例患者出现术后并发症。所有这6例患者的评分均为5分或更高，且有呼吸暂停史或中度支气管肺发育不良史。术前呼吸暂停和/或中度支气管肺发育不良史似乎是术后并发症的重要指标。如果没有呼吸暂停或肺部疾病史，40周的概念年龄是可接受的年龄下限。
