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我院于1996～1999年共收治小儿食道异物30例,均在静脉全麻气管插管下行异物取出术,无麻醉并发症及麻醉意外。 1 临床资料 本组男性18例,女性12例,年龄1～6岁,均为急症手术,异物种类为硬币、花生米、话梅核、栗子、塑料圆珠笔帽等,手术时间20～30分钟。麻醉方法:术前常规肌注阿托品0.02mg/kg、苯巴比妥钠2～3mg/kg或安定0.2mg/kg。患儿入室肌注氯胺酮4～7mg/kg,静脉开放。全麻诱导安定0.2mg/kg、卡肌宁0.3～0.6mg/kg或琥珀胆碱1.5～2.0mg/kg,行气管内插管,气管导管为ID3.5～4.5mg/kg,带套囊,听诊两肺呼吸
Our hospital in 1996 to 1999 were treated in children with esophageal foreign body in 30 cases, all in the intravenous anesthesia intubation foreign body removed, no complications and anesthesia complications. 1 Clinical data The group of 18 males and 12 females, aged 1 to 6 years old, are emergency surgery, foreign body types of coins, peanuts, plum nuclear, chestnuts, plastic ball cap caps, etc., the operation time 20 to 30 minutes. Anesthesia methods: preoperative routine intramuscular injection of atropine 0.02mg / kg, phenobarbital sodium 2 ~ 3mg / kg or stability of 0.2mg / kg. Intramuscular injection of ketamine in children with 4 ~ 7mg / kg, veins open. General anesthesia induced diazepam 0.2mg / kg, cardiomycin 0.3 ~ 0.6mg / kg or succinylcholine 1.5 ~ 2.0mg / kg, endotracheal intubation, endotracheal tube ID3.5 ~ 4.5mg / kg, with cuff Auscultation two lungs breathing