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[婴幼儿支气管镜检查中的吸入麻醉(作者译)]

[Inhalation anaesthesia in bronchoscopies on infants and small children (author's transl)].

作者信息

Hofmeister E, Pille U

出版信息

HNO. 1977 Oct;25(10):368-9.

PMID:914664
Abstract

Over the past 5 years 37 bronchoscopies were performed on children aged 7 months to 3 years for the removal of foreign bodies, the diagnosis of inflammations, and the cause of chronic stridor. Because of improved instrumentation, illumination with "cold light" and cooperation between endoscopist and anaesthesist there were no complications. Anaesthesia was achieved by a mixture of oxygen, nitrous oxide and fluothane without use of muscle relaxants. Each child was given Atropine and Solu-Decortin H and if indicated Calcium gluconate and Euphillin. These endoscopies, except in three children with gross inflammation, were carried out as out-patient procedures. Early endoscopy in the doubtful case is desirable, since later complications may make anaesthetic conditions hazardous.

摘要

在过去5年中,对7个月至3岁的儿童进行了37次支气管镜检查,目的是取出异物、诊断炎症以及查明慢性喘鸣的病因。由于器械的改进、“冷光”照明以及内镜医师与麻醉师之间的合作,未出现并发症。通过氧气、一氧化二氮和氟烷的混合气体进行麻醉,未使用肌肉松弛剂。每个孩子都注射了阿托品和氢化可的松琥珀酸钠,如有需要还注射了葡萄糖酸钙和氨茶碱。除了3名有严重炎症的儿童外,这些支气管镜检查均作为门诊手术进行。对于可疑病例,早期进行内镜检查是可取的,因为后期并发症可能会使麻醉条件变得危险。

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