麻醉恢复室中的呼吸系统问题
- Authors
- Edward A Bittner, MD, PhD, MSEd, FCCM
Edward A Bittner, MD, PhD, MSEd, FCCM
- Associate Professor of Anaesthesia
- Harvard Medical School
- Edward George, MD, PhD
Edward George, MD, PhD
- Assistant Professor of Anesthesiology
- Harvard Medical School
- Section Editor
- Natalie F Holt, MD, MPH
Natalie F Holt, MD, MPH
- Section Editor — Preoperative and Postoperative Evaluation and Management
- Assistant Professor of Anesthesiology
- Yale School of Medicine
- Deputy Editors
- Nancy A Nussmeier, MD, FAHA
Nancy A Nussmeier, MD, FAHA
- Deputy Editor — Anesthesiology
- Department of Anesthesia, Critical Care, and Pain Medicine
- Massachusetts General Hospital
- Geraldine Finlay, MD
Geraldine Finlay, MD
- Senior Deputy Editor — UpToDate
- Deputy Editor — Pulmonary, Critical Care, and Sleep Medicine
- Associate Professor
- Tufts University School of Medicine
- Translators
- 车薛华, 副主任医师
车薛华, 副主任医师
- 复旦大学附属华山医院麻醉科
引言
呼吸系统并发症在术后早期需要处理的问题中仅次于恶心和呕吐[1,2]。其病因多种多样,可由上气道、下气道或肺实质的异常引起,也可由控制呼吸的外周神经和肌肉的异常引起。恰当监测、早期诊断和及时处理至关重要,因为即使是潜在致命性的呼吸系统损害通常也可被逆转。
本专题将总结麻醉恢复室(post-anesthesia care unit, PACU)内成人呼吸系统问题的监测、评估和处理。关于术前肺部风险的评估、减少术后肺部并发症的策略以及离开PACU后这些并发症的处理,参见其他专题。
●(参见“术前肺风险评估”)
●(参见“减少成人术后肺部并发症的措施”)
●(参见“Overview of the management of postoperative pulmonary complications”)
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