Manujet Ⅲ手控喷射通气在儿童气管支气管异物取出术中的应用  

Manujet Ⅲ manual jet ventilation used in tracheobronchial foreign bodies removal in children

作　　者：田兴德[1,2] 强笔[1,2] 刘燕青[1,2] 夏瑞[1,3] 

机构地区：[1]荆州市第一人民医院 [2]长江大学附属第一医院耳鼻咽喉头颈外科,湖北荆州434000 [3]长江大学附属第一医院麻醉科

出　　处：《临床耳鼻咽喉头颈外科杂志》2013年第4期187-188,192,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:评价ManujetⅢ手控喷射通气在儿童气管支气管异物取出术中的应用效果。方法:2004-01-2008-12采用通过硬质支气管镜侧孔控制正压通气的62例患儿为P组,2009-01-2012-01采用ManujetⅢ装置手控喷射通气的48例患儿为J组,记录术者置镜满意率、术中缺氧情况、异物取出情况、手术时间、不良反应发生情况,并进行比较。结果:两组比较,置镜满意率两组差异无统计学意义(P>0.05)。手术时间、术中缺氧发生率、不良反应发生率,两组差异有统计学意义(P<0.05),J组优于P组。结论:在气管支气管异物取出术中,采用ManujetⅢ装置行手控喷射通气,可以降低术中缺氧的发生率,更便于术中操作。Objective：To evaluate the effect of applying Manujet Ⅲ manual jet ventilation to remove tracheobronchial foreign bodies in children.Method：Before 2009,62 patients,using the controlled positive pressure ventilation through the side holes of the rigid bronchoscopy,is signed as group P.Another group J,from January 2009 to January 2012,48 cases,utilizing Manujet Ⅲ device manual jet ventilation.The satisfaction rate at placed in bronchoscopy,intraoperative hypoxia,removal of foreign body situation,operative time,incidence of adverse reactions were recorded and contrasted.Result：The difference of satidfaction rate in placing endoscopy between the two groups was not statistically significant（P0.05）.But in operative time,intraoperative hypoxia,incidence of adverse reaction rate was statistically significant（P0.05）,J group is better than the group P.Conclusion：In the tracheobronchial foreign bodies removal,application Manujet III device to manual jet ventilation can reduce the incidence of intraoperative hypoxia,easier to surgical operation.

关 键 词：呼吸 异物 支气管镜检查 儿童 

分 类 号：R768.4[医药卫生—耳鼻咽喉科]