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目的观察七氟烷吸入麻醉用于小儿气管异物取出术的麻醉效果。方法咽喉镜暴露声门,以1%地卡因进行咽喉、声门、气管内表面麻醉,面罩吸入氧及七氟烷混合气体(氧流量6～8L/min.七氟烷浓度8%)进行麻醉诱导,并观察手术时间、苏醒时间、术中喉痉挛和术后恶心、呕吐发生率。结果所有患儿均成功取出异物,术中均无发生呼吸衰竭及呼吸道梗阻等并发症,痊愈出院。结论七氟烷吸入麻醉用于小儿气管异物取出术,是一种更为安全、有效的麻醉方法。
Objective To observe the anesthetic effect of sevoflurane inhalation anesthesia for pediatric tracheal foreign body removal. Methods A throat laryngoscope was used to expose the glottis. Throat, glottis, endotracheal tube anesthesia, inhalation of mask oxygen and sevoflurane mixed gas (oxygen flow of 6-8L / min and sevoflurane concentration of 8%) were performed with 1% Anesthesia was induced and the operation time, recovery time, intraoperative laryngospasm and postoperative nausea and vomiting were observed. Results All children were successfully removed foreign body, no intraoperative respiratory failure and respiratory complications such as complications, discharged. Conclusion Sevoflurane inhalation anesthesia for pediatric tracheal foreign body removal is a safer and more effective method of anesthesia.