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我院自1988年来共施行儿童双腔支气管导管插管麻醉25例,现就有关麻醉问题作分析讨论如下。 临床资料 12～14岁儿童25例,男性17例,女性8例,身高140～152cm。病种包括肺囊肿10例、支气管扩张9例、胸内畸胎瘤3例、肺结核空洞肺毁损2例、肺隔离症1例。计肺叶切除23例,一侧全肺切除2例。 麻醉诱导 先行面罩供氧去氮5～10min,依次静注安定0.2mg·kg~(-1)、1.25～2.5％硫喷妥钠5～8mg·kg~(-1)、琥珀胆碱1～1.5mg·kg~(-1)。待肌松后,经口腔明视下插入F35Carlens双腔管(上海新亚医用橡胶制品厂产品)仅1例用F37右侧双腔导管。然后静脉内滴
Our hospital since 1988, a total of 25 cases of children with dual-lumen endotracheal intubation anesthesia, anesthesia is now on the issue for analysis and discussion are as follows. Clinical data 25 children aged 12 to 14 years, 17 males and 8 females, height 140 ~ 152cm. Diseases include 10 cases of pulmonary cysts, bronchiectasis in 9 cases, 3 cases of intrathoracic teratoma, pulmonary tuberculosis in 2 cases of lung damage, pulmonary sequestration in 1 case. 23 cases of lobectomy, one case of pneumonectomy in 2 cases. Anesthesia induced oxygen mask to oxygen 5 ~ 10min, followed by intravenous diazepam 0.2mg · kg -1, 1.25 ~ 2.5% thiopental 5 ~ 8mg · kg -1, succinylcholine 1 ~ 1.5mg · kg -1. After muscle relaxation, only one case of F35Carlens double-lumen tube (Shanghai New Asia Medical Rubber Products Factory) was inserted into the right double-lumen catheter of F37. Then intravenous drip