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目的 探讨气管插管在小儿食管异物取出术中的应用价值。方法 对全麻气管插管下行小儿食管异物取出术的 2 2例患儿进行临床分析。结果 2 2例先行气管插管后再行食管异物取出术 ,其中对手术时间较长的患儿使用高频喷射通气 (HFJV)技术 ,大大减轻了病人缺氧和二氧化碳蓄积的问题。手术全部顺利 ,术中呼吸、脉搏平稳 ,SaO2 均在 95 %以上 ,无一例发生缺氧或窒息症状。结论 气管插管在小儿食管异物取出术中的应用是重要的安全措施。
Objective To explore the value of tracheal intubation in the removal of esophageal foreign bodies in children. Methods Twenty-two children undergoing general anesthesia with tracheal intubation and descending pediatric esophageal foreign body removal were analyzed. Results Twenty-two cases underwent first intubation and esophageal foreign body removal. Among them, HFJV was used in children with longer operation time, which greatly reduced the patients’ hypoxia and carbon dioxide accumulation. Surgery was smooth, intraoperative respiration, pulse stable, SaO2 are more than 95%, no case of hypoxia or asphyxia symptoms. Conclusion The application of tracheal intubation in the removal of esophageal foreign bodies in children is an important safety measure.