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该文作者分析了分娩性臂丛神经损伤(产瘫)显微外科修复术的术中与术后并发症,为外科医生和患儿家长提供该手术相关并发症的种类和危险性等详细资料。自1988年至1999年连续为173例患者施行显微外科手术。该组男93例,女80例,平均年龄8.6(±3.7)月,平均体重8843(±1932)g。手术平均持续时间11.1(±2.4)小时。行腓肠神经移植152例(或同时行神经松解术),单纯神经松解术21例。术后平均随访30.8(±23.9)月。该组无手术死亡病例,并发症总发生率为33.5％(58例),包括液体输入过多(8％)、膈肌瘫痪(6.4％)、麻醉管脱出(3％)、气管阻塞(2％)、气
The authors analyzed intraoperative and postoperative complications of obstetric and brachial plexus repair (paraplegia) for microsurgery and provided surgeons and children with detailed information on the types and risks of the complications associated with the procedure . A total of 173 patients underwent microsurgery from 1988 to 1999. The group of 93 males and 80 females, the average age of 8.6 (± 3.7) months, the average body weight of 8843 (± 1932) g. The average duration of surgery was 11.1 (± 2.4) hours. 152 cases of sural nerve transplantation (or concurrent nerve lysis), simple nerve release in 21 cases. The average follow-up was 30.8 months (± 23.9 months). In this group of patients with no surgical deaths, the overall complication rate was 33.5% (58 cases), including excessive fluid input (8%), diaphragm paralysis (6.4%), anesthesia tube prolapse (3%), tracheal obstruction ),gas