【摘要】 目的:探讨儿童支气管镜检查及取异物术的全身麻醉安全性,减少相关并发症的有效方法。方法:以r OH100mg/kg,丙泊酚3mg/kg为静脉诱导,术中间断静推丙泊酚维持麻醉,以支气管镜筒作为通气管道,外接可控辅助呼吸装置,确保患儿术中生命安全。结果:手术时间(13.93±1.38)min;麻醉时间(120.94±10.62)min;术中生命体征变化:SBP(110.92±10.45)mmHg,HR(136.88±7.35)bpm,SpO2(96±1.21)%;苏醒时间:(136.27±10.33)min。结论:全麻下支气管镜检查,不仅避免了患儿心理创伤,同时也降低了取异物的难度和手术并发症的发生。全麻下利用支气管镜筒作为通气管道,外接可控辅助呼吸装置,可确保患儿术中生命安全。但在缩短苏醒时间,减轻心血管及呼吸系统疾病的反应等方面仍有待进一步改进与探索。更多还原

【Abstract】 Objective:This study aimed to find safe and effective approaches to reduce complications in removing foreign bodies under intravenous anesthesia in children. Methods: Anesthesia was induced with propofol 3 mg/kg, r-OH 100 mg/kg and maintained intermittently with propofol injection. To free the patients from any injury, a controllable assisting ventilation equipment connected with the end of the rigid bronchoscope was used as airway for breathing. Results: Duration of operation was (13.93±1.38)min and (120.94±10.62)min for anesthesia. The changes of vital signs in operation were as follows: SBP (110.92±10.45) mmHg, HR (136.88±7.35) bpm, SpO\-2 (96± 1.21)%. Sense recovery: (136.27±10.33)min. Conclusion: The rigid bronchoscope surgery under intravenous general anesthesia can not only free children from mental damage but make it easier to remove the foreign bodies. However, further study is necessary to improve the course of operation in shortening the duration of sense recovery and reducing complications.更多还原