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目的探讨小儿气管内异物取出术的麻醉管理。方法对35例小儿气管内异物取出术的麻醉管理进行回顾性分析。结果异物进入左右支气管机会均等,大多数患儿术中平稳安静、无异常。出现屏气、SpO2小于90%、紫绀、心律失常时立即将支气管镜退至总气管,经充分吸氧、加深麻醉后缓解。所有异物均成功取出。结论氯胺酮复合羟基丁酸钠咽喉表面麻醉用于小儿气管内异物取出术效果良好,术中过程平稳,并发症少。
Objective To investigate the anesthetic management of pediatric tracheal foreign bodies removal. Methods A retrospective analysis of anesthesia management in 35 pediatric patients with tracheal foreign bodies removal was performed. Results foreign body into the bronchial equal opportunities, most children with stable and quiet surgery, no abnormalities. Appear breath-hold, SpO2 less than 90%, cyanosis, arrhythmia immediately retreat bronchoscopy to the total trachea, the full oxygen, to deepen anesthesia and ease. All foreign objects were successfully removed. Conclusion Ketamine combined hydroxybutyrate sodium throat surface anesthesia for tracheal foreign body removal in children with good results, intraoperative stable process, fewer complications.