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术后并发急性阻塞性通气功能障碍应用沐舒坦、利多卡因气道冲洗4例

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摘要 目的为急性阻塞性通气功能障碍病人提供一种新的治疗手段。方法确诊为急性阻塞性通气功能障碍的病人,经气管导管注入配制好的冲洗液(5~8毫升/次,小儿3毫升左右),呼吸囊或呼吸机加压通气,5~10分钟后开始吸痰,每次吸痰不超过15秒,并根据病情每隔10~30分钟重复一次。结果4例预先应用沐舒坦、利多卡因行气道冲洗,清理气道分泌物的效果满意;一例病人呛咳较明显,予小剂量咪唑安定(0.02mg/kg)后,患者安静,未出现严重心血管并发症。结论本文采用停留气管插管进行气道内冲洗,无需纤支镜,效果满意。
作者 梁爱霞
出处 《海南医学》 CAS 2007年第11期94-95,共2页 Hainan Medical Journal
基金 广东省佛山市卫生局科研立项课题 项目编号:2004123。
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