双语阅读：美国和加拿大麻醉师手术前服用减肥药

who in the and are about who take loss drugs up to .

美国和加拿大的麻醉医生对在手术前服用流行减肥药的患者表示担忧。

work with to make sure their are , or , .

麻醉师和外科医生一起工作，确保他们的病人在手术前处于睡眠状态或镇静状态。

More and more are the loss drugs and .

越来越多的人正在服用减肥药和。

say they are when take place.

麻醉师表示，他们在决定手术何时进行方面遇到了困扰。

That is the loss drugs cause to hold food in their than usual.

这是因为减肥药会导致人们胃里的食物停留时间比平常更长。

who still have food in their when they are put to sleep risk a known as a .

当患者在手术前进入睡眠状态时，如果他们的胃里还有食物，就会有发生肺吸入的并发症的风险。

That is the term for when some of their into their lungs.

肺吸入是指患者将部分胃内容物吸入肺部的情况。

In cases, the food can cause or even death.

在极端情况下，食物颗粒可能导致感染甚至死亡。

Most are told to not eat for about eight hours .

大多数患者被告知在手术前8小时内不要进食。

, the say those may need to be for who are using the loss drugs.

然而，医生们表示，对于正在使用减肥药的患者，这些指导可能需要改变。

Ion Hobai is an at in .

伊恩·霍拜是波士顿麻省总医院的麻醉师。

He said who takes the drugs know about "such a sort of ."

他说，每个服用这些药物的人都应该知道“这种严重的潜在并发症”。

is a that works in .

科莫多健康中心是一家从事医疗保健的科技公司。

to its , 6 for the loss drugs were in the first five of 2023.

根据该公司的研究，在2023年的前五个月，有近600万张减肥药处方被开出。

In June, the of said not take daily loss on the day of .

今年6月，美国麻醉师协会表示，患者在手术当天不应该服用每日减肥药物。

It also that not get their loss for a week any .

它还建议患者在任何镇静剂手术前一周不要注射每周一次的减肥针。

Dr. is the head of the .

迈克尔·钱皮奥博士是该组织的负责人。

He said the is based on from the .

他说，这一建议是基于美国各地麻醉师的经验得出的。

A group of , Hobai, said they would even more time off from the drugs .

包括霍拜在内的一些麻醉师表示，他们会建议患者在手术前停药更长时间。

In the of , they about three weeks.

在《加拿大麻醉学杂志》上，他们建议停药三周左右。

Dr. Jones is an at the Mayo in .

菲利普·琼斯博士是明尼苏达州梅奥诊所的麻醉师。

After three weeks, he said, the drug no be the .

他说，，三周后，药物应该不会再影响胃部。

At that point, he said, " go back to ."

他说，到那时，“一切都应该恢复正常。”

Hobai said he is a study of 200 who were using drugs such as and .

霍拜说，他正在完成一项对200名患者的研究，这些患者在手术前使用了和等药物。

He said his are to a study in that found 25 of still had food in their 10 days after the drug.

他说，他的结果与巴西的一项较小的研究相似，该研究发现，25%的患者在停药10天后胃里仍然有食物。

of this , the of said who are of their ' work .

基于这些信息，美国麻醉师协会表示，不确定病人胃内容物的医生应该采取不同的做法。

They say work as they would if they knew the 's was full.

他们说，医生应该像知道患者胃里有食物那样操作。

only one time out of every 2,000 to 3,000 that .

每2000到3000次需要镇静的手术中，只有一次会发生肺吸入。

But when it does , the a lung half the time.

但是一旦发生，患者就有一半的可能会患有肺部损伤。

That is why the are .

这就是医生们担心的原因。

One of Hobai's who had been a that care.

霍拜的一名服用的患者出现了需要严重护理的问题。

He had not eaten for 18 hours .

他在手术前18小时都没有进食。

In case, a woman a small of did not eat for 10 hours .

在另一个案例中，一名服用少量的女性在手术前10小时内没有进食。

She was in the of a that had to be saw food in her .

当时她正在做手术，医生发现她胃里有食物，所以手术不得不中止。

Dr. Elisa Lund is an at the of North in Hill.

埃莉莎·伦德博士是北卡罗来纳大学教堂山分校的麻醉师。

She said many have , as the loss drugs have more .

她说，随着减肥药变得越来越普遍，许多医生都有类似的故事。

"It has ," she said.

“这种情况呈指数级增长。”她说。

Novo is the drug that makes and .

诺和诺德是生产和的制药公司。

The said there was in its that the drug would lead to .

该公司表示，在测试中没有任何迹象表明该药会导致误吸。

, the drug-maker did say the can cause the to empty more .

然而，这家制药商确实表示，这些药物会导致胃排空速度变慢。

Hobai said he is also about going off their for too long.

霍拜说，他还担心患者停药时间过长。

For , the drugs are used to the blood sugar level of with .

例如，这些药物被用来控制糖尿病患者的血糖水平。

If they stop them , they may face a kind of .

如果他们在手术前停止服用，他们可能会面临另一种健康问题。

He said who are using the drugs tell their about them and the risks of .

他说，正在使用这些药物的患者应该告诉医生，并讨论手术的风险。

"If you're this drug and you need an , you will need to have some extra ," he said.

他说：“如果你正在服用这种药物，而又需要做手术时，就需要做一些额外的预防措施。”

I'm Caty . And I'm Dan .

凯蒂·韦弗、丹·弗里德尔联合报道。

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