| 高频喷射通气在小儿气管、支气管异物取出术中的应用 |
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| 引用本文： | 余云明,秦俊,朱宁池,李霞,周文,邓清华,阳兴.高频喷射通气在小儿气管、支气管异物取出术中的应用[J].重庆医学,2009,38(3). |
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| 作者姓名： | 余云明 秦俊 朱宁池 李霞 周文 邓清华 阳兴 |
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| 作者单位： | 重庆三峡中心医院麻醉科,404000 |
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| 摘 要： | 目的 比较气管、支气管异物取出术中保留自主呼吸和高频喷射通气的麻醉安全性.方法 120例手术随机分为自主呼吸组(S组,60例)和高频喷射通气组(C组,60例).S组静脉注入氯胺酮及0.5%丁卡因表面麻醉,手术过程患儿保持自主呼吸.C组用静脉麻醉药同S组,另静脉加用维库溴铵,手术过程患儿无自主呼吸.记录手术时间、插入支气管镜次数、最低血氧饱和度、屏气发生次数和严重并发症心跳骤停或死亡的发生率.结果 外科医师在C组中更容易置入支气管镜,达到100%的首次置入率.手术时间:C组(8.46±7.84)min显著低于S组(25.25±11.76)min;插入支气管镜次数:C组(1.30±0.62)次显著低于S组(3.20±0.66)次;最低血氧饱和度:C组(65.26±12.78)%显著高于S组(45.20±14.35)%;屏气发生次数:C组(0.5±0.42)次显著低于S组(2.31±0.48)次;死亡率:C组(0例)显著低于S组(2例).结论 在小儿气管、支气管异物取出术中,高频喷射通气可以降低患儿缺氧风险,提高麻醉安全性.
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| 关 键 词： | 小儿 支气管异物 自主呼吸 控制通气 |
Application of high frequent controlled ventilation for bronchial foreign body removal in children |
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| YU Yun-ming,QIN Jun,ZHU Ning-chi,et al..Application of high frequent controlled ventilation for bronchial foreign body removal in children[J].Chongqing Medical Journal,2009,38(3). |
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| Authors: | YU Yun-ming QIN Jun ZHU Ning-chi |
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| Institution: | YU Yun-ming,QIN Jun,ZHU Ning-chi,et al.(Department of Anesthesiology,Sanxia Central Hospital,Chongqing 404000,China) |
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| Abstract: | Objective To compare spontaneous ventilation and high frequent controlled ventilation during intravenous anesthesia for bronchial foreign body removal in children.Methods One hundred and twenty patients were randomly allocated to spontaneous ventilation group(group S,60 cases)or high frequent controlled ventilation group(group C,60 cases).The patients were induced with ketamine,and 0.5% tetracaine for larynx topical anesthesia maintained spontaneous respiration during operation in group S.In group C,vecuron... |
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| Keywords: | children foreign body tracheobronchial spontaneous ventilation controlled ventilation |
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