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目的探讨丁卡因胶浆对气管异物患儿气道的保护作用。方法 100例小儿气管异物患者随机均分为两组,每组50例。丁卡因胶浆组(A组)和空白组(B组),A组将丁卡因胶浆均匀涂于纤维支气管镜表面,并做会厌声门表面麻醉,B组不做处理。记录术后患儿严重声门水肿、支气管痉挛发生率的情况。结果 A组患儿术后出现支气管痉挛1例,严重声门水肿3例;B组患儿术后出现支气管痉挛8例,严重声门水肿12例。A组患儿术后患儿支气管痉挛及严重声门水肿情况与B组比较,差异有统计学意义(P<0.05)。结论丁卡因胶浆组患儿术后的气道并发症明显降低。
Objective To investigate the protective effects of tetracaine glue on airway in children with tracheal foreign bodies. Methods 100 cases of children with tracheal foreign body were randomly divided into two groups, 50 cases in each group. Tetracaine glue group (group A) and blank group (group B). Group A was uniformly coated with tetracaine glue on the surface of fiberoptic bronchoscopy, and epiglottis surface anesthesia, group B without treatment. Record severe cases of children with glottis edema, the incidence of bronchial spasm. Results In group A, one case of bronchospasm and three cases of severe glottis edema were found in group B. Eight cases of bronchospasm and 12 cases of severe glottis edema occurred in group B after operation. Group A children with postoperative bronchial spasm and severe glottis edema compared with the B group, the difference was statistically significant (P <0.05). Conclusion The postoperative airway complications were significantly decreased in the tetracaine glue group.