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目的探讨改良螺纹管弯接头连接普通喉罩用于全身麻醉下小儿纤维支气管镜检查的有效性及安全性。方法 2012年11月-2013年8月行小儿纤维支气管镜检查的患儿36例,采用改良弯接头连接喉罩行七氟醚吸入全身麻醉下小儿纤维支气管镜检查。结果 36例患儿检查均顺利结束,检查中无检查中断发生,无组织损伤,无喉痉挛及支气管痉挛,无喉头水肿,无血氧饱和度降低至90%以下。结论改良螺纹管弯接头连接喉罩用于小儿纤维支气管镜检查简单价廉,能有效保证氧供,尤其适用于基层医院开展。
Objective To investigate the effectiveness and safety of improved threaded tube elbow joint with laryngeal mask for pediatric bronchoscopy under general anesthesia. Methods From November 2012 to August 2013, 36 children undergoing pediatric bronchofibroscopy were enrolled in this study. Fetal bronchoscopy was performed under general anesthesia with sevoflurane in a modified curved joint laryngeal mask. Results 36 cases of children were successfully concluded, no interruption of examination, no tissue damage, no laryngospasm and bronchospasm, no laryngeal edema, oxygen saturation decreased to 90% or less. Conclusion The improved threaded tube elbow joint laryngeal mask for children with bronchoscopy is simple and inexpensive, can effectively guarantee oxygen supply, especially for primary hospital.