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作者在美国印第安纳大学医疗中心两年间应用呼吸暂停麻醉法行CO_2激光切除喉乳头状瘤9例,计手术51次。作者详细地介绍了呼吸暂停麻醉法的具体使用方法及安全应用之所须明了的肺生理学方面的变化。患者多为儿童。约87％的患者每次手术需呼吸暂停1～2次,平均每次手术操作2.6分钟(1～4分半钟)。呼吸暂停麻醉法手术切除喉乳头状瘤的禁忌证包括婴儿、高热患者、心肺异常、严重贫血、甲状腺机能亢进及电解质紊乱者。呼吸暂停麻醉法可增进喉及声门下术野的暴露,有利于彻底
In the United States Indiana University Medical Center two years of apnea anesthesia CO_2 laser removal of laryngeal papilloma in 9 cases, surgery 51 times. The authors describe in detail the specific methods of apnea anesthesia and the changes in lung physiology that need to be addressed for safety applications. Most patients are children. Approximately 87% of patients require apnea once or twice per operation, with an average of 2.6 minutes (1 to 4 and a half minutes) per operation. Contraindications for surgical removal of laryngeal papilloma by apnea anesthesia include infants, patients with fever, cardiopulmonary disorders, severe anemia, hyperthyroidism, and electrolyte disturbances. Apnea anesthesia can enhance the larynx and subglottic surgery exposure, is conducive to thorough