小儿唇腭裂修复术麻醉中的呼吸并发症分析(附142例报告)

观察１４２例小儿唇腭裂手术的麻醉，有２９例于麻醉诱导后、术始、术中、术后出现不同原因的呼吸并发症，均有不同程度的ＳｐＯ_２的下降，发生率为２０．４％。术前有上呼吸道感染组、＜１岁组、唇裂＋腭裂组、不插管组的呼吸并发症的发生率比较高。提示术前检查有无上呼吸道感染很重要，尤其对＜１岁又不插管的小婴儿，术中观察要细，吸血要及时，麻醉药深浅要掌握适度，唇裂＋腭裂应行气客插管，异型管优于普通管，拔管时机要适当。对容易引起组织胺释放的药物要充分了解，使用中注意速度、剂量和反应。

STUDY OF RESPIRATORY COMPLICATION IN CHILDREN UNDERGOING REPAIRS OF CLEFTLIPAND/OR PALATE DURING GENERAL ANESTHESIA

Objective : To study the risk factors causing respiratory complications in child undergoing repairs of cleft lip and/or palate during general anesthesia. Method : One hundred and fortytwo children served as subjects. The SpO_2 was observed during preparation. Result , A decline in SpO_2 caused by respiratory complications was found is 29cases ,and the incidence in about 20. 4% . The study shows that preoperative respira- tory inflammatory ,age below 1 ,cleft lip and palate and anesthesia without endotracheal incubation are all risk factors causing respiratory complications. Conclusion :Cure of pre- operative respiratory .inflammatory and anesthesia with endotracheal incubation could ef- fectively reduce the incidence of respiratory complications. And the bend endotracheal tube is better than the common tube in decreasing the respiratory complication.