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为了获得良好的语音效果,对82例出生3至12个月的先天性腭裂进行了整复术,并观察术中后的相关情况。临床结果显示:①气体—静脉复合麻醉是安全的;②手术平均失血量为41.2ml,手术平均操作时间为53分钟;③术后3—7天出院,随访伤口愈合良好;④本组病例5例术后出血,4例发生梗阻性呼吸困难,1例腭部裂孔。研究结果表明,在完备的麻醉、监护条件下,广泛开展婴儿期腭裂修复手术是安全可行的。
In order to obtain a good speech effect, 82 cases of birth to 3 to 12 months of congenital cleft palate were reconstructive surgery, and postoperative observation of the relevant circumstances. Clinical results showed that: ① gas-venous anesthesia is safe; ② average blood loss was 41.2ml, the average operation time was 53 minutes; ③ postoperative 3-7 days discharged, follow-up wound healing was good; ④ this group of patients Bleeding occurred in 5 cases, obstructive dyspnea occurred in 4 cases and palatal hole in 1 case. The results show that in a complete anesthesia, custody conditions, extensive preoperative cleft palate repair surgery is safe and feasible.