喷射通气在支气管异物取出术中的应用

APPLICATION OF JET VENTILATION IN BRONCHIAL FOREIGN BODY REMOVAL

目的 :研究全身麻醉药 ,肌松药和喷射通气用于小儿气管内异物取出术的临床效果。方法 :A组 :氯胺酮 2mg kg ,异丙酚 2mg kg静脉注射 ,从支气管镜侧孔接带套囊的T管给氧 ,B组 :异丙酚 ,芬太尼 1μg kg ,琥珀胆碱2mg kg静脉注射 ,从支气管镜侧孔行喷射通气 ;分析两组患儿的置镜满意率 ,手术时间、麻醉苏醒时间 ,并发症。结果 :B组的置镜满意率明显增加 ,手术时间、麻醉苏醒时间明显缩短 ,并发症减少 (P <0 .0 5 )。结论 :全身麻醉药 ,肌松药和喷射通气用于小儿气道异物取出术安全、平稳 ,苏醒快 ,术后并发症发生率低 ,是一种好的麻醉方法。

Objective: To study the clinical anesthesia effect of general anesthetics, muscle relaxant and jet ventilation on bronchial foreign body removal. Methods: Group A received ketamine 2 mg/kg,propofol 2mg/kg intravenously, oxygen was given with T tube connected to the side port of fibrobronchoscope, group B received propofol 2mg/kg, fentynil 1μg /kg and succinylcholine 2 mg/kg intravenously, and jet ventilation was given by emergency cardiopulmonary resuscitation instrument connected to the side port of fibrobronchoscope. Results: The rate of intubation satisfaction in group B increased, the operative time and recovery time shortened, the complication lessened. Conclusion: Compound using of general anesthetics, muscle relaxant and jet ventilation in removing bronchial foreign body is safe, stable, with rapid recovery and low incidence of complication, and therefore, it is a good anesthesia method.