| 较细气管导管用于小儿气管插管的可行性与安全性观察 |
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| 引用本文： | 吴玥,程戌春,韩苗华.较细气管导管用于小儿气管插管的可行性与安全性观察[J].皖南医学院学报,2011,30(2):155-157. |
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| 作者姓名： | 吴玥 程戌春 韩苗华 |
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| 作者单位： | 芜湖市第一人民医院,麻醉科,安徽,芜湖,241000 |
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| 摘 要： | 目的:观察按公式ID(mm)=年龄/4+3.5选择气管导管应用于小儿气管插管时的可行性与安全性。方法:全麻下行择期手术的患儿20例,气管导管的型号依据导管内径ID(mm)=年龄/4+3.5选择。记录困难插管发生例数,术中或术后低氧血症发生率,机械通气相关呼吸参数:吸气压、气道平均压力,脉搏氧饱和度(SpO2)和呼气末二氧化碳分压(EtCO2),术后喉痉挛、喉水肿、喉喘鸣或咳喘的发生率,术后第2天声音嘶哑、咳喘、咳嗽的发生率。结果:20例患儿均顺利插管;机械通气过程中各呼吸参数均在正常范围;拔管后喉痉挛2例,咳喘1例,低氧饱和度5例,给予对症处理后好转;术后第2天无声音嘶哑、咳喘、咳嗽的发生。结论:以公式ID(mm)=年龄/4+3.5选择气管导管行小儿全麻气管插管是可行的,也是安全的。
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| 关 键 词： | 气管内插管 喉痉挛 喉水肿 导管内径 |
Observation of the feasibility and safety in intubation of pediatric patients with smaller-sized endotracheal tubes |
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| WU Yue,CHENG Xu-chun,HAN Miao-hua.Observation of the feasibility and safety in intubation of pediatric patients with smaller-sized endotracheal tubes[J].Acta Academiae Medicinae Wannan,2011,30(2):155-157. |
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| Authors: | WU Yue CHENG Xu-chun HAN Miao-hua |
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| Institution: | Department of Anesthesiology,Wuhu No.1 People′s Hospital,Wuhu 241000,China |
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| Abstract: | Objective:To observe the feasibility and safety in intubation of pediatric patients for endotracheal tube choice by the formula of ID(mm)=ages/4+3.5.Methods:Twenty pediatric patients scheduled for surgery by general anesthesia(GA)were recruited and undergone endotracheal tube selection by the formula of ID(mm)=ages/4 +3.5.The clinical data were kept regarding the cases of difficult tracheal intubation,incidences of hypoxemia during and after the surgery,respiratory parameters associated with mechanical vent... |
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| Keywords: | endotracheal tube laryngospasm laryngeal edema intraductal diameter(ID) |
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