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预防唇腭裂小儿全麻术后低氧血症的一种拔管方法 被引量:1

A extubation method of preventing cleft lip and palate hypoxemia after general anesthesia in children
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摘要 150例小儿唇腭裂手术患儿随机均分2组:A组为拔管时先退管至咽喉部,待生命体征平稳、脉搏氧饱和度(SpO2)持续在95%以上5 min或不能耐受导管时再拔出导管;B组为术毕有拔管指征直接拔管。观察2组拔管前、拔管后5、10 min血氧饱和度的变化。术毕拔管时先退管到咽喉部可有效预防舌后坠和低氧血症的发生,是一种较为理想的拔管方法。 150 cases of pediatric surgery with cleft lip and palate were randomly divided into two groups:During extubation of group A retired the pipe to the throat,when stable vital signs appeared,pulse oxygen saturation(SpO2) sustained more than 95% in 5 min or when patients were not tolerant,pulled it out.Group B pulled out the catheter directly if there was a sign of extubation.The oxygen saturation was observed in two groups before extubation,5 and 10 min after extubation.Retiring to the throat and then pulling out is an effective way to prevent tongue falling and occurrence of hypoxemia.
作者 刘建宁
出处 《实用口腔医学杂志》 CAS CSCD 北大核心 2009年第5期751-753,共3页 Journal of Practical Stomatology
关键词 拔管方法 小儿唇腭裂 全身麻醉 Extubation method Children with cleft lip and palate General anesthesia
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  • 1Vijayakumar HR,Metriyakool K,Jewell MR.Effects of 100% oxygen and a miture of oxygen and air on oxygen saturation in the immediate postoperative period in children[J].Anesth Analg,1987,66(2):181-184.

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