Clinical analysis of complications in OSAHS patients with delayed extubation after surgery
10.16066/j.1672-7002.2017.10.011
- VernacularTitle:阻塞性睡眠呼吸暂停低通气综合征术后延迟拔管并发症分析
- Author:
Weiliang BAO
1
;
Shixiong TANG
;
Yaowen WANG
;
Peng CHENG
;
Jing QING
;
Tianbin OUYANG
;
Xudong CHEN
Author Information
1. 宁波大学医学院
- Keywords:
Sleep Apnea,Obstructive;
Intubation,Intratracheal;
Postoperative Complications;
delayed airway extubation;
prevention and control
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2017;24(10):536-539
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To analyze the varieties,causes and preventions of severe complications in OSAHS patients with delayed extubation after surgery.METHODS The clinical dates of 548 OSAHS patients with delayed extubation after surgery were retrospectively analyzed,in order to explore the incidence,reasons,and the prevention and control of severe complications.RESULTS There were 14 cases with severe complications in 548 OSAHS patients,including 1 case of septicemia,one case of nasal alar scar formation,one case of cerebral infarction,2 cases of massive hemorrhage,2 cases of tube dislocation,2 cases of ventilator resistance,2 cases of apnea,3 cases of ventilator-associated pneumonia.All of the14 cases recovered after dealing with the corresponding measures.No dead happened.CONCLUSION The incidence of complications in OSAHS patients with delayed extubation is relatively high.In order to improve the prognosis,more attentions should be paid to the airway care and manipulation in the course of treatment.When the complications happened,corresponding treatments should be done in time.If the patients' respiratory function and airway patency were normal,extubation as early as possible could reduce the incidence of complications.
