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我院心内直视术890例中发生6例小儿气管插管不当造成严重缺氧,男4例,女2例,年龄3.5~7岁(平均4岁),体重14~17kg(平均15.8kg),身高90~110cm。X线片示:气管导管前端超过T_3椎体水平2~3.5cm5例,气管导管滑脱1例,均经及时调整导管,缺氧症状好转,无死亡及后遗症,痊愈出院。 本组5例导管过深发生缺氧,全部发生在ICU内,经及时床边胸部X线拍片,发现气管导管过深,导管端分别达T_(3~4)2例,T_42例,T_(4~5)1例,均及时调整导管,呼吸道阻力即改善,再次胸片示导管端位于T_(2~3)水平,
Myocardial surgery in our hospital 890 cases of 6 cases of pediatric tracheal intubation caused by inappropriate hypoxia, 4 males and 2 females, aged 3.5 to 7 years (mean 4 years), weight 14 ~ 17kg (average 15.8kg ), Height 90 ~ 110cm. X-ray showed: the end of the tracheal tube exceeds the level of T_3 vertebral body 2 ~ 3.5cm5 cases, 1 case of tracheal tube slippage, both by timely adjustment catheter, hypoxia symptoms improved, no death and sequelae, discharged. The group of 5 cases of hypoxic catheter overdone, all occurred in the ICU, chest X-ray film by timely bedside and found that the tracheal catheter is too deep, the catheter end were T_ (3 ~ 4) in 2 cases, T_42 cases, T_ 4 ~ 5) 1 case, both timely adjustment of the catheter, the resistance of the airway is improved, the second end of the chest tube is located at the level of T_ (2 ~ 3)