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目的探讨异丙酚配合胃镜在上消化道异物取出中的应用。方法16例患者经常规方法不能取出上消化道异物,应用异丙酚静脉麻醉后,通过胃镜取出,观察临床效果。结果异物均顺利取出,BP、HR、R均有不同程度的下降,10例手术在10min内完成,有6例用时稍长,且有躁动;有6例SpO2<95%,发生在诱导阶段,经处理后迅速上升至98%;所有患者术中无知晓。结论无痛电子胃镜在上消化道异物取出中有一定的优势,但需严格掌握其适应证。
Objective To investigate the application of propofol with endoscopy in the removal of foreign body in upper gastrointestinal tract. Methods 16 patients with conventional method can not remove the upper gastrointestinal tract foreign body, the application of propofol intravenous anesthesia, removed by endoscopy, to observe the clinical effect. Results All the foreign bodies were removed smoothly, BP, HR and R decreased to some extent. Ten cases were completed within 10 minutes, 6 cases were slightly longer and had restlessness. Six cases had SpO2 <95%, which occurred in the induction stage, After treatment rose rapidly to 98%; all patients without knowledge of surgery. Conclusion Painless electronic endoscopy in the upper gastrointestinal foreign body removal has some advantages, but the need to strictly control its indications.