异丙酚静脉复合麻醉在小儿纤维支气管镜术中的临床应用  

Clinical Application of Propofol to Fiberoptic Bronchoscopy in Children.

作　　者：夏万敏[1] 王莉[1] 杨亚静[1] 郭浪涛[1] 冉隆青[1] 

机构地区：[1]成都市儿童医院,四川成都610017

出　　处：《四川省卫生管理干部学院学报》2008年第2期94-96,共3页Journal of Sichuan Continuing Education College of Medical Sciences

摘　　要：目的:总结异丙酚静脉复合麻醉在小儿纤维支气管镜中的临床应用。方法:在麻醉科医生使用异丙酚静脉复合麻醉下,应用OlympusXP260F电子纤维支气管镜对38例肺不张、慢性咳嗽、反复、难治性喘息等的患儿进行纤维电子支气管镜(纤支镜)检查治疗。观察异丙酚复合麻醉在小儿纤维支气管镜术中的应用情况。结果:异丙酚静脉复合麻醉麻醉起效快,术后清醒时间短,并发症少。结论:在小儿纤维支气管镜检术中采用异丙酚静脉复合麻醉,解决了患儿不合作,操作更顺利,减少并发症,增加了安全性,特别适用婴幼儿。小儿纤维支气管镜检术在小儿呼吸系统疾病的诊疗过程中应用十分广泛,对于反复、难治性喘息病因诊断非常重要。Objective： To evaluate the clinical application of intravenous anesthesia with propofol to bronchoseopy in children. Methods： Intravenous anesthesia with propofol was used in bronchoscopy procedures in 38 children suffering with ateleetasis, chronic cough or recurrent wheeze. Results： Intravenous anesthesia with propofol took effect very quickly, needed shorter time for palinesthesia, and had fewer complications. Conclusion： Intravenous anesthesia with propofol can be used safely, painlessly and effectively in the examination and treatment of fiberoptie bronchoseopy for children, especially for infant. Bronchoseopy procedures can he used extensively to identify the causes of recurrent and difficult therapeutic wheezing of respiratory diseases in children.

关 键 词：小儿 纤维支气管镜 异丙酚 麻醉 

分 类 号：R614[医药卫生—麻醉学]