摘要
目的 :研究安全易行的小儿气管切开方法。方法 :对 34例有气管切开指征的患儿 ,分组行常规气管切开术、麻醉插管或小儿支气管镜引导的气管切开术。结果 :插管引导的小儿气管切开术组 ,术者易判断气管 ,手术时间短 ;插管后经吸痰、给氧 ,改善了缺氧状况 ,利于术者从容操作且降低了并发症。结论 :插管引导的小儿气管切开术较常规气管切开术安全易行 。
Objective:To research a safe and efficiency method of tracheotomy for children.Method:18 cases were carried out traditional tracheotomy,16 cases were performed tracheotomy directed by endotracheal intubation or bronchoscope.Results:The trachea was easily found under this method and anoxia was improved after sputum and oxygen feeding through the tracheal catheter or bronchoscope.Conclusion:Tracheotomy in children directed by intubation is easily performed and the complications is reduced.
关键词
气管切开术
气管插管
儿童
Tracheotomy
Endotracheal intubation
Child
