- 期刊
Experience of Anesthesia for Transthoracic Endoscopic Sympathectomy in Palmar Hyperhidrosis -110 Cases
胸腔鏡交感神經切除術麻醉之經驗110病歷報告
摘要
Transthoracic endoscopic sympathectomy (TES) is an effective treatment for palmar hyperhidrosis. We review our experience and discuss the anesthetic technique and perioperative complications encountered in 110 patients undergoing TES for palmar hyperhidrosis. All patients were monitored with EKG, NIBP and pulse oximetry (SPO_2) during the operation. The trachea was intubated with a single lumen endotracheal tube and ventilation was controlled manually. 100% inspired oxygen was necessary during TES to avoid hypoxia. One patient developed sudden cardiac arrest during electrocauterization of the left sympathetic chain and two patients required underwater drainage for hemothorax. Minimal pneumothorax was diagnosed in 4 patients and all cased resolved spontaneously without active treatment.
並列摘要
胸腔鏡交感神經切除術是治療手部多汗症最有效的方法之一。本文是探討我們在110個病患之全身麻醉及手術手法中的經驗及併發症來提供資料以供參考。病患均用普通單管氣管內管做手操控制呼吸。術中用自動血壓器、心電圖、血氧飽和濃度測試儀監視病人，爲避免缺氧，術中均用100%氧氣，共7例併發症發生有一位病患在術中以電燒左交感神經時突發心跳停止。有兩位病患因血胸接受密閉引流治療，另四位病患術後經X光診斷有輕微氣胸，但不必治療自然恢復。
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