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[全身麻醉下小儿直接喉镜检查及喉显微手术]

[Direct laryngoscopy and laryngeal microsurgery in children under general anesthesia].

作者信息

Soboczyński A, Podstawska D, Grzegorowski M

出版信息

Otolaryngol Pol. 1989;43(2):118-20.

PMID:2608282
Abstract

The great local irritability, especially on mechanical agents (giving shock), required the great caution during the laryngeal microsurgery. Local anesthesia lowered the shock risk and assure the safe and precise maneuvers. However, the tracheal tube in the small children larynx limits the visibility. The aim of this work is the description of our experiences in direct laryngoscopy and laryngeal microsurgery in children under general anesthesia, by use of tracheal tube. The significant modification is a metal tube, fixed to the laryngoscope, by which the halothane and oxygen mixture was given constantly. 201 endoscopy and microsurgery maneuvers of the larynx were performed in our Clinic.

摘要

局部激惹性很强,尤其是对机械刺激(给予电击)反应强烈,这就要求在喉显微手术过程中格外小心。局部麻醉降低了休克风险,并确保了操作的安全与精确。然而,小儿喉部的气管导管会限制视野。这项工作的目的是描述我们在全身麻醉下使用气管导管对儿童进行直接喉镜检查和喉显微手术的经验。一个重大改进是将一根金属管固定在喉镜上,通过它持续给予氟烷和氧气的混合气体。我们诊所进行了201例喉部内镜检查和显微手术操作。

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