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find Keyword "喉痉挛" 2 results
  • Preoperative Application of Budesonide Aerosol Inhalation in the Reduction of Respiratory Adverse Events during Pediatric Anesthesia Recovery

    ObjectiveTo explore the influence of general anesthesia with laryngeal mask and preoperative inhalation of budesonide aerosol on the incidence of respiratory adverse events during pediatric anesthesia recovery. MethodsA total of 100 child patients scheduled to undergoing inguinal hernia repair between December 2012 and February 2014 were randomly divided into two groups (group A and B) with 50 in each. All the patients underwent general anesthesia with laryngeal mask, while patients in group B inhaled budesonide aerosol before anesthesia. Then, we observed the incidence of adverse events in both groups, including laryngospasm, respiratory tract infection, and pulmonary complications. ResultsCompared with group A, patients in group B had a lower incidence of adverse events (P<0.05). ConclusionPreoperative application of budesonide aerosol inhalation can significantly reduce adverse events in the process of anesthesia recovery in children.

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  • 甲状腺/甲状旁腺术后早期低钙血症诱发的清醒状态下喉痉挛2例报道

    目的总结甲状腺/甲状旁腺术后早期低钙血症诱发的清醒状态下喉痉挛的原因及防治措施。方法对2例甲状腺/甲状旁腺术后早期低钙血症诱发喉痉挛患者的临床资料进行回顾性分析。结果1例甲状腺右叶乳头状癌患者行甲状腺全切除 + 颈部右侧淋巴结清扫 + 右侧中央区淋巴结清扫,1例三发性甲状旁腺功能亢进症、左下甲状旁腺增生患者行颈部探查 + 左侧甲状旁腺全切除 + 术中喉返神经探查监测术。2例患者术后早期血清钙水平较术前迅速下降,患者清醒状态下出现喉痉挛。2例患者均予快速补充钙剂后,呼吸困难的临床症状迅速缓解。结论甲状腺/甲状旁腺切除术后可出现低钙血症,如血清钙水平迅速下降,甚至在清醒状态下诱发喉痉挛,及时纠正低钙血症后喉痉挛可迅速缓解,此类患者术后需要监测血清钙水平并预防性补钙。

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