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例1 男,10岁,在气管内循环紧闭静吸复合麻醉下行四联症矫治手术。所用气管导管为F26,插管顺利,术后留置导管26h,用氨苄青霉素、地塞米松等静滴。拔管后患儿发音较清晰,唯气道分泌物多,第3d晨喉鸣,呼吸困难,先后用α糜蛋白酶、地塞米松作超声雾化吸入无效。术后第6d病情加重,大汗不止,端坐呼吸,鼻翼扇动,有三凹征,口唇发绀,体温37℃,HR160bpm,RR24/min,间接喉镜检查见声带闭合正常,外展困难,声门后1/3部及前联合区有多个红色半
Example 1 Male, 10 years old, in the endotracheal loop closed static suction compound anesthesia underwent quadruple surgery. The endotracheal tube used for the F26, intubation smooth catheter indwelling catheter 26h, with ampicillin, dexamethasone and other intravenous infusion. After extubation in children with a clear pronunciation, only more airway secretions, the first 3d morning throat, difficulty breathing, followed by α-chymotrypsin, dexamethasone for ultrasonic nebulization invalid. Postoperative 6th day, the condition worsened, sweating more than sitting breathing, nose flap, there are three concave signs, lips cyanosis, body temperature 37 ℃, HR160bpm, RR24 / min, indirect laryngoscopy see vocal cord closure is normal, After 1/3 and before the joint area has more than one red and a half