颌面外科小儿非气管内插管麻醉期间呼吸意外回顾分析

A review of respiratory disorders in the children undergoing maxillofacial operation during nontracheal intubation anesthesia

目的：分析小儿非气管插管麻醉中１１２例呼吸意外的原因。方法：采用回顾性分析，对小儿各年龄段及呼吸意外发生的时机进行统计学分析。结果：诱导期呼吸意外发生率与手术期及苏醒期相比有显著差异（Ｐ＜０．０１），３个月～２岁年龄段与３岁～４岁及５岁～６岁年龄段比较有显著性差异（Ｐ＜０．０１）。结论：呼吸意外大多发生在麻醉早期阶段，年龄愈小愈易发生呼吸意外，早期发现呼吸意外的有效监测是ＳｐＯ２。

Objective: To study the reasons of respiration disorders in the children undergoing maxillofacial operation during non-tracheal intubation anesthesia. Methods: 112 cases of respiration disorder in the children undergoing maxillofacial operation during nontracheal intubation anesthesia were reviwed. The relationship between the disorders and age or occurrence time was analyzed. Result: The disorders occured in the induction stage, operation stage and recovery stage were 77.68%, 20.54% and 1.78% respectively(P<0.01); That occured at the age of 3 months～2 years, 2～4 years and 5～6 years old were 60.71%, 24.11%, and 15.8% respecctively(P<0.01).Conclusion: Respiratory disorder is likely to occur at the early stage of anesthesia in young children.