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1、全麻下高頻噴射通氣在小兒氣道異物取出術(shù)的應(yīng)用【關(guān)鍵詞】高頻 摘要：目的：觀察靜脈復(fù)合全麻下高頻噴射通氣（HFJV）在小兒氣道異物取出術(shù)的臨床效果。方法：患兒在進(jìn)入手術(shù)室前肌注氯胺酮4～8mg/kg，待患兒安靜入睡后進(jìn)手術(shù)室，開通靜脈通道后緩慢注射羥丁酸鈉（r-OH）80～100mg/kg，約10min后以1%地卡因作喉部表面霧化噴入，較大患兒于環(huán)甲膜穿刺注入1%地卡因1ml，5min后即可手術(shù)，手術(shù)時間超過90min者，可追加氯胺酮、r-OH等。術(shù)中HFJV采用國產(chǎn)KR-Ⅱ呼吸機(jī)，電控氣動進(jìn)行噴射通氣，頻率根據(jù)缺氧程度選用144～200次
2、/min，氣源驅(qū)動壓0.6～1.2kg/cm2。結(jié)果：術(shù)中麻醉平穩(wěn)、缺O(jiān)2改善，52例氣管、支氣管異物的患兒在靜脈復(fù)合全麻下行高頻噴射通氣均順利完成手術(shù)。結(jié)論：靜脈復(fù)合全麻下行HFJV在小兒氣道異物取出術(shù)的應(yīng)用效果是確切的?！ ￡P(guān)鍵詞：高頻噴射通氣；小兒；氣管異物取出 TheApplicationofGeneralAnesthesiaHigh-frequencyJetVentilation intheInfantileAirPassageForeignBodyExtraction7 Abstract：Objective:Toobser
3、vetheclinicaleffectoftheHFJVundergeneralintravenouscombinedanesthesiaintheinfantileairpassageforeignbodyextraction.Method:Beforeenteringtheoperatingroom,theinfantpatientwasinjectedwithketamineof4～8mg/kg.Thenthesleepinginfantpatientwassenttotheoperatingroom,andther-OHof80～1
4、00mg/kgwasslowlyinjectedaftertheintravenoustrackwasreadythere.10minuteslater,the1%dicainewassprayednebulizationallyviathethroat,andforthebiggerinfant,1%dicaineof1mlwasinjectedbyintercricocentesis.Andtheoperationwasconducted5minuteslater.Forthepatientswhoseoperationtimeexce
5、eded90minutes,theketamineandr-OHwouldhavebeenaddedforthesecondtime.Duringtheoperation,thedomesticKR-IIrespiratorandelectric-controlpneumaticmethodwereusedforjetventilationwiththefrequencyof144～200times/aminutechosenupontheoxygenlacklevelandtheairsourcedrivingpressurebeing0
6、.6～1.2kg/cm2.Result:Duringtheoperation,theanesthesiawasstableandtheoxygenlacklevelhadbeenimproved.The52casesofoperationofinfantswithforeignbodiesintracheaorbronchuswerecompletedsmoothlybytheHFJVunderthecompleteintravenouscombinedanesthesia.Conclusion:Theapplicationofcomple
7、teintravenouscombinedanesthesia7HFJViseffectiveintheinfantileairpassageforeignbodyextraction. Keywords:High-frequencyjetventilation；Infant；Airpassageforeignbodyextraction 我院自2001年1月至2004年6月，在全麻下采用國產(chǎn)KR-Ⅱ型高頻噴射通氣（HFJV）呼吸機(jī)在52例小兒氣管、支氣管異物取出術(shù)中的應(yīng)用，取得較好的臨床效果，現(xiàn)報告如下： 1資料與方法 1.1臨床
8、資料：本組52例，男32例，女20例。氣管異物15例，支氣管異物37例。年齡9個月至1歲10例，1歲以上至2歲25例，2歲以上至5歲13例，9歲2例。中度缺O(jiān)214例，嚴(yán)重缺O(jiān)2
