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患儿男,6d,3.5kg,入院确诊为先天性食管闭锁并发新生儿肺炎。无明显脱水,双肺呼吸音粗糙并闻干啰音,X线检查显示食道明显扩张,盲端平第八胸椎水平无气管食管瘘并有右上肺炎症。术前肌注东莨菪碱0.05mg,心率160bpm,血压10/8kPa,呼吸40/min。肌注氯胺酮15mg入睡后静注安定5mg,顺利置入内径3.5mm导管,应用“T”型管连接7寸无菌手套行手法控制呼吸。气道压<10cm水柱,氧流量约2L/min,术中因损伤右侧胸膜伴有血压下降,静注50％葡萄糖
Children male, 6d, 3.5kg, admitted to hospital diagnosed with congenital esophageal atresia complicated by neonatal pneumonia. No obvious dehydration, rough lung breath sounds and smell dry rales, X-ray examination showed significant expansion of the esophagus, blind end level eighth thoracic non-tracheal fistula and right upper quadrant inflammation. Preoperative intramuscular injection of scopolamine 0.05mg, heart rate 160bpm, blood pressure 10 / 8kPa, breathing 40 / min. Intramuscular injection of ketamine 15mg After intravenous stability and stability of 5mg, the successful placement of 3.5mm diameter catheter, the use of “T” type tube connection 7 inch sterile gloves line control breathing. Airway pressure <10cm water column, oxygen flow rate of about 2L / min, intraoperative damage to the right pleura associated with blood pressure, intravenous infusion of 50% glucose