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目的探讨经鼻蝶窦入路垂体瘤切除术患者麻醉恢复期常见并发症的发生情况及防治措施。方法对1064例行经鼻蝶窦垂体瘤切除术患者的资料进行回顾性分析,总结麻醉恢复期常见并发症的发生情况,分析原因并探讨防治方法。结果经鼻蝶窦垂体瘤切除术患者麻醉恢复期并发症发生率为38.9%(414/1064)。其中循环系统并发症284例(26.7%)、术后恶心呕吐88例(8.3%)、呼吸系统并发症57例(5.4%)、疼痛55例(5.2%)、躁动49例(4.6%)、寒战29例(2.7%)、苏醒延迟2例(0.2%)。结论经鼻蝶窦垂体瘤切除术患者麻醉恢复期并发症有手术操作和疾病特殊性的原因,需严密监测并及时处理。
Objective To investigate the incidence and prevention and treatment of common complications during anesthesia recovery in patients with pituitary adenomas undergoing nasal sphenoid sinus surgery. Methods The data of 1064 patients who underwent resection of the pituitary adenoma of the nasal sphenoidoid sinus were retrospectively analyzed. The incidence of common complications during recovery from anesthesia was summarized, the causes were analyzed and the methods of prevention and treatment were also discussed. Results The complication rate of anesthesia recovery period was 38.9% (414/1064) in patients with transsphenoidal pituitary adenoma resection. There were 284 cases (26.7%) with circulatory complications, 88 cases (8.3%) with postoperative nausea and vomiting, 57 cases with respiratory complications (5.4%), 55 cases with pain (5.2%), 49 cases with agitation Chills in 29 cases (2.7%), recovery delayed in 2 cases (0.2%). Conclusions Transnasal sinus pituitary adenoma resection anesthesia in patients with convalescent complications of surgical operation and disease-specific reasons for the need to be closely monitored and promptly treated.