静脉复合加丁卡因局部麻醉在小儿气管异物取出术中的应用  

Combined vein and local dicaine anesthesia in extraction of foreign body of children tracheobroncheoscopy

作　　者：蔡洪海[1] 王本英[1] 龙潭[1] 姜栋[1] 谭清爽[1] 

机构地区：[1]威海文登中心医院,文登264400

出　　处：《山东医大基础医学院学报》2001年第6期370-371,共2页

摘　　要：目的：探讨在小儿气管异物取出术中防止发生喉、气管、支气管痉挛的麻醉方法。方法：先用氯胺酮与γ－羟基丁酸钠行全身麻醉后，再用１％丁卡因喉头喷雾表面麻醉局部黏膜。结果：治疗患儿６５３例，效果满意。结论：静脉复合加丁卡因局部麻醉在小儿气管异物取出术中是较为安全适用的麻醉方法。Objective:To explore an anesthesia method for prevening laryngeal and tracheobronchial spasm in extraction of foreign body in children by tracheobroncheoscopy.Methods:After general anesthesia by ketamine and sodium γ-hydroxybutyrate,local mucous anesthesia with 1% dicaine by laryngeal spray was done.Results:653 children got satisfied treatment effect .Conclusion:Combined vein and local dicaine anesthesia is a better anesthetic way in extraction of foreign body in children by tracheobroncheoscopy.

关 键 词：气管异物 局部麻醉 静脉内麻醉 氯胺酮 羟丁酸钠 

分 类 号：R768.13[医药卫生—耳鼻咽喉科] R614[医药卫生—临床医学]