喉罩在小儿唇裂手术中的临床应用

Clinical application of largneal mask anesthesia in children cleft lip repairing

目的:评价喉罩在小儿唇裂修复术麻醉应用中的安全性和有效性。方法:选取49例唇裂患儿拟在全麻下行唇裂修复术,全身麻醉置入喉罩后,行机械定压模式呼吸通气30 min,监测动脉血气值、SpO2、肛温、PetCO2、气道压、呼吸频率和心电等参数。结果:小儿唇裂修复术全身麻醉后置入喉罩控制呼吸,根据PetCO2适当调节呼吸参数,能够维持PaO2、PaCO2于正常范围。结论:喉罩能安全有效地应用于小儿唇裂修复术。

Objective:To assess safety and validity of largeal mask anesthesia used for children cleft lip repairing.Methods:Cleft lips of forty-nine children were repaired after inserting suitable largneal mask with general anesthesia and mechanical ventilation,lasting 30 minutes.Artery gas tension,PetCO2,SpO2,rectal temperature,airway pressure,respiratory frequency and EKG were monitored.Results:Children with harelip in repairing were inserted largneal mask in general anesthesia with mechanical ventilation,according to PetCO2 to regulate appropriately respiratory parameter,to keep PaO2 and PaCO2 normal.Conclusion:Largneal mask can be used with safety and validity to children cleft lip repairing.