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喉罩已广泛用于小儿麻醉。对手术中喉罩难于维持气道通畅的患儿可经喉罩盲插导丝来引导气管插管,但往往导丝不易正确置入气道。作者报道15例小儿经喉罩使用纤维光导支气管镜(以下称纤支镜)直视下放置导丝引导插管的方法。 此15例小儿属ASAⅠ、Ⅱ级、适用2号喉罩,体重6～25kg,均无胃肠疾病,术前禁食,估计无插管困难者。
Laryngeal mask has been widely used in pediatric anesthesia. On the intraoperative laryngeal mask is difficult to maintain airway patency in children can be inserted through the laryngeal blind guide wire to tracheal intubation, but often difficult to correctly guide the guide wire into the airway. The authors report 15 cases of children with laryngeal mask using fiberoptic bronchoscopy (hereinafter referred to as bronchoscopy) placed under direct vision guide wire catheterization method. The 15 cases of pediatric ASA Ⅰ, Ⅱ grade, for 2 laryngeal mask, body weight 6 ~ 25kg, no gastrointestinal disease, preoperative fasting, it is estimated that no intubation difficulties.