全麻并发症资料.pptVIP

全身麻醉期间严重并发症的防治 ; 呼吸道梗阻; 舌后坠（上梗） (Tongue falling afterward ) ; 反流与误吸 (Regurgitation and aspiration) 原因（Aetiology）: Regurgitation and pulmonary aspiration of gastric contents are more likely to occur in patients with intra-abdominal pathology,delayed gastric emptying or inadequate gastro-oesophageal sphincter function. Aspiration is more common during emergency ,obese or obstetric patients. Mortality is high after major aspiration. ; 应用吗啡类、全麻药、肌松药后→贲门括约肌松驰→胃内容物反流→下呼吸道严重阻塞→误吸死亡率50%～75%。 误吸胃液→突发支气管痉挛、呼吸急速、困难、肺内弥漫性湿罗音，严重缺O2.