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我院自1982年～2000年5月用不同麻醉方法,在直接喉镜下进行小儿气管异物取出术100例,取得不同的麻醉效果,现将总结如下:1 临床资料1.1 本组100例:其中男68例,女32例,3个月～1岁10例,2～4岁35例,5～8岁48例,8～13岁7例.异物部位:气管内58例,右支气管30例,左支气管10例,细支气管2例(并发部分肺不张合并感染);异物停留时间30分钟～3天;手术时间15～45分钟;异物种类为花生米、瓜子、笔套等.1.2 麻醉方法及结果:术前常规肌注阿托品0.01 mg/kg~(-1),鲁米那纳0.2 mg/kg~(-1)入手术室.充分供氧开放静脉,并使手术台头部降低15°位置,防止呼吸道内逆流.
Our hospital from 1982 to May 2000 with different anesthesia, direct laryngoscopy in children with tracheal foreign body removal of 100 cases, and achieved different anesthetic effects, are summarized as follows: 1 Clinical data 1.1 The group of 100 patients: There were 68 males and 32 females, 10 cases of 3 months to 1 year old, 35 cases of 2 to 4 years old, 48 cases of 5 to 8 years old and 7 cases of 8 to 13. Foreign body parts: 58 cases in trachea and 30 cases in right bronchus , Left bronchus in 10 cases, bronchioles in 2 cases (concurrent part of pulmonary atelectasis with infection); foreign body residence time 30 minutes to 3 days; operation time 15 to 45 minutes; foreign matter types of peanuts, melon seeds, pen loops, etc. 1.2 anesthesia Results: Preoperative routine intramuscular injection of atropine 0.01 mg / kg ~ (-1), luminal 0.2 mg / kg ~ (-1) into the operating room.Open oxygen supply to the veins, and to reduce the head of the operating table 15 ° position to prevent the respiratory reflux.