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目的 探讨先天性唇腭裂小儿可能并有气道狭小的发生率。方法 选择先天性唇腭裂手术及非唇腭裂手术各 2 0 0例 ,均采用全麻气管内插管麻醉 ,准备标准管、小 1号管和小 2号管三根 ,待肌松监测四个成串刺激显示 T1 消失时进行插管。结果 唇腭裂组插标准管困难的比率明显高于对照组 (P<0 .0 1) ,需改用小 2号管插入的比率高于对照组 (P<0 .0 5 ) ,按体重分小组对比 ,唇腭裂组的达标体重小组与未达标体重小组插标准管困难的比率均高于对照组 (P<0 .0 5 )。结论 先天性唇腭裂小儿 ,无论是正常体重儿还是低体重儿 ,并有气道狭小的发生率都显著高于非唇腭裂小儿。
Objective To investigate the possible incidence of congenital cleft lip and palate children with small airways. Methods 200 cases of congenital cleft lip and palate surgery and non-cleft lip and palate surgery were selected. All patients were anesthetized with endotracheal intubation, and three standard tubes, one small tube and two small tube were prepared. Skeletal stimulation showed intubation when T1 disappeared. Results The rate of insertion of standard tube in cleft lip and palate group was significantly higher than that in control group (P <0.01). The insertion rate of small 2-canal needles was higher than that of control group (P <0.05) In comparison with the control group, the rate of difficulty in standardizing the standard weight group in the cleft lip and palate group and that in the non-standard weight group was higher than that in the control group (P <0.05). Conclusion Children with congenital cleft lip and palate, both normal and low birth weight infants, and the incidence of narrow airway were significantly higher than non-cleft lip and palate children.