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儿童食管上段异物取出术的研究

Study of foreign-body extraction from the upper third of the esophagus in children.

作者信息

Bao Wen-Kui

机构信息

Department of Anesthesiology, Affiliated Hospital of Inner Mongolia University for the Nationalities , China.

出版信息

Iran J Pediatr. 2014 Apr;24(2):214-8.

Abstract

BACKGROUND

Throat-operating forceps are an auxiliary tool used for tracheal intubation during general anesthesia as well as for artificial respiration and during airway emergency when tracheal intubation is necessary. These forceps are a commonly used tool particularly for introducing the distal end of the endotracheal catheter into the airway at the epiglottis during difficult airway intubation and nasotracheal intubation. Throat-operating forceps have a required radian for operation at the intraoral epiglottis and have different types (large, medium, and small) that are suitable for patients of different ages. These tools have flexible forceps clamps and target-like, smooth distal ends that do not injure mucous membranes. Given these advantages, throat-operating forceps are used for pediatric endoesophageal foreign-body removal.

CASE PRESENTATION

Pediatric patients were anesthetized using different methods according to their age. A total of 15 patients five years to nine years of age were recruited. Foreign bodies were successfully removed without any complications.

CONCLUSION

Tracheal intubation forceps successfully removes esophageal foreign bodies in children because of the distinct shape of the forceps. The method is simple, feasible, and safe.

摘要

背景

咽喉手术钳是全身麻醉气管插管时以及人工呼吸和气道紧急情况需要气管插管时使用的辅助工具。这些钳子是常用工具,特别是在困难气道插管和鼻气管插管时,用于将气管内导管的远端引入会厌处的气道。咽喉手术钳在口内会厌处操作有特定弧度,且有不同型号(大、中、小),适用于不同年龄的患者。这些工具的钳夹灵活,远端呈靶样且光滑,不会损伤黏膜。鉴于这些优点,咽喉手术钳用于小儿食管异物取出。

病例报告

根据年龄对小儿患者采用不同方法进行麻醉。共招募了15例5至9岁的患者。异物成功取出,无任何并发症。

结论

气管插管钳因其独特形状能成功取出儿童食管异物。该方法简单、可行且安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cb4/4268843/c8205d72d9d2/IJPD-24-214-g001.jpg

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