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Pierre-Robin二氏综合症(以下简称PRS)的临床特点是下颌骨发育不全(小颌畸形)和舌下垂,常伴有呼吸道梗阻而导致缺氧、高碳酸血症、肺水肿、肺心病、呕吐、吸入性肺炎,甚至引起死亡。对患儿长期的影响包括发育障碍及永久性脑损伤。对解除此种患儿呼吸道梗阻已有许多方法,如:舌固定术、下颌弥补术、支架伏卧喂养法、气管插管、口腔通气管或气管切开术等,而以鼻咽通气管(简称NP管)方法最简便、有效。作者们自1972年以来,对这种重症患者应用NP管逐渐增多。 NP管的放置:用一个3.0~3.5mm气管插管,通过鼻腔,用头带固定。为维持管的通畅,滴人0.5ml生理盐水再行吸引,该项操作
Pierre-Robin’s syndrome (hereinafter referred to as PRS) is clinically characterized by mandibular hypoplasia (micrognathia) and tongue sagging, often accompanied by airway obstruction leading to hypoxia, hypercapnia, pulmonary edema, pulmonary heart disease, Vomiting, aspiration pneumonia, and even cause death. Long-term effects on children include developmental disabilities and permanent brain damage. There are many ways to relieve such obstructive airway diseases in children, such as: tongue fixation, mandibular replacement surgery, stenting placement, endotracheal intubation, oral ventilation or tracheostomy, and nasopharyngeal ventilation tube Referred to as NP tube) method is the most simple and effective. The authors have been using NP tubes for this critically ill patient since 1972. NP tube placement: with a 3.0 ~ 3.5mm endotracheal intubation, through the nasal cavity, headband fixed. In order to maintain the smooth tube, dropping 0.5ml saline again to attract this operation