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小儿气管内异物发生呼吸障碍,经体位不能排出异物者,行远端高频喷射通气(60～150次/分)及静脉全麻技术经气管镜取异物均能达到满意效果,对22例患儿生命指征监测处于平稳状态,效果确切,现报告如下。 一、资料与方法 1.临床资料:患儿22例,年龄2～10岁,男15例、女7例,右支气管异物21例、左支气管异物1例,其中20例有呼吸障碍,2例重者伴有面部青紫、胸闷、烦躁不安,紧急面罩吸氧,小剂量镇静药物消除患儿恐惧心理。 2.方法:入室前30分钟肌注阿托品0.01～0.02mg·kg~(-1),氟哌啶0.05～0.01mg·kg~(-1),入室后先行面罩吸氧,接好监护仪,
Pediatric tracheal foreign body respiratory failure, the body can not be discharged foreign body who line distal high-frequency jet ventilation (60 ~ 150 beats / min) and intravenous anesthesia by tracheoscope to take foreign body can achieve satisfactory results, 22 patients Children’s life indication monitoring in a steady state, the exact effect, are as follows. First, the data and methods 1 clinical data: 22 cases of children, aged 2 to 10 years old, 15 males and 7 females, 21 cases of right bronchial foreign body, 1 case of left bronchial foreign body, of which 20 cases of respiratory disorders, 2 cases Severe bruise accompanied by facial, chest tightness, irritability, emergency mask oxygen, small doses of sedative drugs to eliminate the fear of children. 2.Methods: Atropine 0.01 ~ 0.02mg · kg ~ (-1) and 0.05 ~ 0.01mg · kg ~ (-1) of haloperidol were administered intramuscularly 30 minutes before the admission.