一个当代的方法治疗外科手术期间的支气管
Christian Bohringer1, Daniel Copeland1, Hong Liu1
1Department of Anesthesiology and Pain Medicine, University of California Davis Health, Sacramento, California, USA.
经手术支气管的治疗需要采用多模式的方法,利用除了吸入β-2激动剂之外的未充分使用的有效治疗方法. 早期诊断和综合策略是预防诸如动态高通胀综合征等严重并发症的关键.
科学领域:
- 麻醉学 麻醉学
- 肺部病理学 肺部病理学
背景情况:
- 在老年人群中,喘发病率的增加和慢性阻塞性肺病的患病率增加,需要改善外科手术期间支气管的管理.
- 目前对外科手术期间支气管的吸入β-2激动剂的依赖往往产生有限的疗效.
- 越来越需要有效地管理外科手术期间的支气管.
研究的目的:
- 审查手术内支气管的诊断.
- 讨论术后支气管的当代治疗方法.
- 强调采用多模式的方法来预防与支气管相关的发病率和死亡率.
主要方法:
- 关于术后支气管的诊断和治疗的当前文献的综述.
- 讨论未充分利用但有效的治疗剂.
- 强调多模式治疗策略的重要性.
主要成果:
- 对支气管的有效治疗方法,包括静脉注射的德克斯梅德托米丁,利多卡因,,,胺,类固醇和吸入式塞沃弗,未得到充分利用.
- 吸入β-2激动剂往往是主要的,但不足的治疗方法.
- 类似于疼痛管理的多模式方法对于成功的外科手术期间支气管治疗至关重要.
结论:
- 快速诊断和有效治疗对于预防动态高通胀综合征至关重要.
- 现代的多式模式策略是必要的,以减轻外科手术期间与支气管相关的并发症.
- 优化外科手术期间支气管的管理可以减少患者的发病率和死亡率.
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