七氟醚吸入麻醉在婴幼儿血管瘤治疗中的临床应用

    The investigation and analysis of the preoperative nutrition risk of patients with esophageal cancer

    • 摘要: 目的:探讨七氟醚吸入麻醉在婴幼儿血管瘤治疗中的临床应用价值。方法:在七氟醚吸入麻醉下,采用平阳霉素+倍他米松+2%利多卡因溶解后行瘤腔内注射治疗婴幼儿血管瘤,并与常规按压条件下采用同样药物治疗婴幼儿血管瘤进行比较。结果:在吸入麻醉条件下治疗患儿血管瘤操作过程时间短,注射部位准确,剂量控制精确,术中患儿生命体征平稳。结论:七氟醚吸入麻醉是辅助治疗血管瘤的有效手段,治疗婴幼儿血管瘤,尤其是特殊部位血管瘤安全可靠,值得推广。

       

      Abstract: Objective: To screen the preoperative nutrition risks of patients with esophageal cancer (EC) ,and discuss the correlation between the nutrition risk(NR) and clinical features. Methods: The preoperative NR and correlation between NR and clinical features of 80 cases with EC were analyzed using the Nutritional Risk Screening 2002 (NRS 2002) . Malnutrition was determined according to the body mass index of Chinese standard (lowered than 18. 5 kg /m2 ) and clinical data,which was recorded as 3 points. Results: Of the 80 EC patients who were evaluated by NRS 2002,64 patients (80. 0%) were judged at malnutrition risk,among these 64 patients, according to the age of EC patients,65. 6% were = 60 years old and 34. 4% were < 60 years old. The incidence of the malnutrition risk in patients with early,middle and late stage were 1. 6%,78. 1% and 20. 3%,respectively,and difference of three stages was statistical significant (P < 0. 05 or P < 0. 01) . The incidence of malnutrition risk was not correlated with the sex,lesion location, pathological type and degree of histology(P > 0. 05) . Conclusions: The incidence of malnutrition risk of patients with EC is high,NRS 2002 can help to find the NR of patients with EC,which has relations with the age and pathological stage of EC.

       

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