摘要
【目的】观察七氟烷在小儿困难气管插管中的应用。【方法】选择2009年来我院行择期或急诊手术且存在困难气道的165例患儿为研究对象，采用面罩吸入8％七氟烷复合氧气（4～6L／min）诱导插管，观察在全麻诱导前（T1）、气管插管前（T2）、插管时（T3）、插管后3min（T4）及四个不同时段患儿平均动脉压（MAP）、心率（HR）、脉搏血氧饱和度（SpO2）及不良事件发生率。【结果】全组惠儿麻醉诱导和气管插管期间均未发生明显低氧血症，麻醉诱导平稳，呼吸、心率、血压均能维持在正常范围。【结论】采用8％七氟烷吸入麻醉诱导可以减少小儿困难气管插管中气管插管的风险，且不良反应少。
[Objective]To observe the application of sevoflurane in the difficult airway intubation in children. [Methods] A total of 165 elective or emergency surgery patients who had difficult airway problem were induced by 8% sevoflurane plus oxygen（4-6 L/min）. The SAP, HR, SpO2 and the incidence of adverse events at the time before induction （T1）, the time before intubation （T2）, intubation （T3）, 3min after intubation （T4） and the time after extubation （TS） were observed. [Results]No hyoxemia was observed during the time of induction and intubation. The RR, HR and BP were stable. [Conclusion]The application of 8% sevoflurane in the difficult airway intubation in children can decrease the risk of intubation with less adverse events.
出处
《医学临床研究》
CAS
2010年第6期1029-1031,共3页
Journal of Clinical Research
关键词
插管法
气管内
氟烷
intubation, intratracheal
halothane
