【摘要】：正氣管、支氣管異物是小兒急性氣管、支氣管阻塞的常見(jiàn)原因,也是小兒耳鼻咽喉科常見(jiàn)急癥[1],若不及時(shí)有效處理可影響呼吸導(dǎo)致缺氧,危及患兒生命。在全身麻醉下行氣管鏡下異物取出術(shù)是臨床中小兒氣管和支氣管異物的治療首選方法,但臨床中發(fā)現(xiàn)行異物取出術(shù)時(shí),小兒氣道對(duì)氣管鏡等刺激的反應(yīng)性很強(qiáng),出現(xiàn)屏氣、嗆咳等癥狀,易發(fā)生缺氧,影響手術(shù)的安全性。筆者用2%利多卡因膠漿代替潤(rùn)滑劑,在小兒氣管異物取出術(shù)中涂于直達(dá)喉
[Abstract]:The foreign body of positive trachea and bronchus is the common cause of acute trachea and bronchial obstruction in children, and is also the common emergency in pediatric department of otorhinolaryngology [1]. If not dealt with effectively in time, it can affect respiration and lead to anoxia and endanger the life of children. The removal of foreign bodies under tracheoscopy under general anesthesia is the first choice for the treatment of trachea and bronchial foreign bodies in children. However, it is found in clinic that the airway of children is highly responsive to tracheoscopy and other stimuli, and they hold their breath. Cough and other symptoms are prone to anoxia, affecting the safety of surgery. The author applied 2% lidocaine glue instead of lubricant to direct larynx in children's trachea foreign body extraction.
【作者單位】： 邢臺(tái)市人民醫(yī)院麻醉科;河北省眼科醫(yī)院麻醉科;
【基金】：河北省科技計(jì)劃項(xiàng)目[No:(2015)9-742] 邢臺(tái)市科技支撐計(jì)劃項(xiàng)目(No:2016zc265)
【分類號(hào)】：R768.4

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1 鮑曉林,鮑麗民;利多卡因膠漿在耳鼻咽喉科的應(yīng)用[J];臨床耳鼻咽喉科雜志;2003年01期

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