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首页> 外文期刊>Acta anaesthesiologica Belgica >Postoperative outcomes in the pyloromyotomy procedure under spinal anaesthesia : a retrospective study of 100 cases
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Postoperative outcomes in the pyloromyotomy procedure under spinal anaesthesia : a retrospective study of 100 cases

机译：脊髓灰质术后术后术后的术后结果：脊髓麻醉下的术语：100例的回顾性研究

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摘要

Background : Infantile hypertrophic pyloric stenosis is one of the most common gastro-intestinal emergencies in the first 2 months of life, and can be treated by pyloromyotomy. Challenges in inducing general anesthesia have led to the development of spinal anesthetic techniques. The purpose of this study is to evaluate the outcomes of pyloromyotomy performed under spinal anesthesia.Methods: A retrospective study of 100 infants who underwent open pyloromyotomy under spinal anesthesia between 2005 and 2015 at Bnai Zion Medical Center was performed. The primary outcome measures were: time to postoperative full enteral feeding, total operating time, and postoperative length of hospital stay. The secondary outcome measures were: incidence of postoperative respiratory adverse events and spinal anesthesia complications.Results : Ninety-two infants underwent pyloro-myotomy under spinal anesthesia. The median time to full enteral feeding was 19 hours. Median operating time was 45.0 minutes. Median length of hospital stay was 2 days. No respiratory or spinal-anesthesia complications were reported.Conclusions : This study suggests that spinal anesthesia is effective and safe in open pyloromyotomy and may improve surgical outcomes.
机译：背景：婴儿肥大幽门狭窄是生命的前2个月最常见的胃肠紧急情况之一，并且可以通过幽门瘤细胞术治疗。诱导全身麻醉的挑战导致脊髓麻醉技术的发展。本研究的目的是评估在脊髓麻醉下进行的幽门瘤细胞术的结果。方法：在BNAI锡安医疗中心进行2005年至2015年在脊髓麻醉下接受幽门麻醉下的100名婴儿的回顾性研究。主要结果措施是：术后全肠内喂养的时间，总操作时间和术后医院住宿时间。二次结果措施是：术后呼吸不良事件和脊髓麻醉发病症的发病率全肠喂养的中位时间为19小时。中位运行时间为45.0分钟。医院住宿的中位数为2天。没有报道呼吸或脊椎麻醉并发症。结论：本研究表明，脊髓麻醉在开放的幽门瘤细胞术中是有效和安全的，并且可以改善手术结果。

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