请精通医学英语的朋友帮忙翻译一下论文的英文摘要!急!

来源:百度知道 编辑:UC知道 时间:2024/05/08 11:33:02
摘要 目的 探讨先天性脐膨出和腹裂围术期的管理方法。方法 38例患儿均采取气管内静吸复合麻醉,诱导用异丙酚、瑞芬太尼、维库溴铵、行气管插管,机械通气,术中异丙酚、瑞芬太尼持续静注,根据手术情况辅助吸入安氟醚。术后均不拔气管插管,送回SICU,采用呼吸机辅助呼吸2.5h~3d不等。术后均禁食、胃肠减压5~12d,TPN6~10d。结果 2003年以前的12例患儿应用呼吸囊辅助呼吸,4例均因呼吸衰竭而死亡。2003年以后的26例患儿均采用呼吸机辅助呼吸2.5h~3d不等。除2例术后放弃治疗外,21例成活,1例因呼吸衰竭死亡。结论 先天性脐膨出、腹裂虽然是危重的急症,经合适的手术、呼吸机的支持、TPN的治疗,有较高的治愈率。
关键词:脐膨出 腹裂 机械通气 麻醉 新生儿

Abstract Objective congenital omphalocele and gastroschisis the management of perioperative period.38 patients were taken intratracheal method inhalation anesthesia induced with propofol and remifentanil, vecuronium.endotracheal intubation and mechanical ventilation during propofol and remifentanil continuous intravenous infusion, assisted surgery of enflurane.Not promote postoperative tracheal intubation and returned SICU used 2.5h~3d range of ventilator-assisted breathing.Both after fasting, gastrointestinal decompression 5~12d, TPN6~10d.Results in 2003 were 12 cases before the capsule ventilator-assisted breathing, four cases of deaths due to respiratory failure.In 2003 after 26 patients were used 2.5h~3d range of ventilator-assisted breathing.In addition to two cases abandoned after treatment, 21 patients survived and one died of respiratory failure.Conclusion congenital omphalocele, gastroschisis is a critical emergency, the appropriate surgery, ventilator support, the TPN