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小儿气管内异物是小儿常见急诊疾病。多数病情凶险,手术操作占用呼吸道,使麻醉中气道控制难度增大。常见缺氧、气道痉挛、呼吸困难,严重者甚至发生窒息。既往有报道其死亡率1.6%～7.0%[1]。我院以往气道异物取出多以局麻方式进行手术。虽无麻醉风险,但增加了手术风险和难度,同时也对患儿身心方面造成很大伤害。丙泊酚(静安丙泊酚)静脉麻醉与七氟醚吸入麻醉均诱导迅速,作用时间短,有一定的肌肉松弛度,苏醒快而且安全,有气道保护作用。
Pediatric tracheal foreign body is a common emergency in children. The most dangerous condition, occupy the respiratory tract surgery, anesthesia in the airway control more difficult. Common hypoxia, airway spasms, breathing difficulties, and even severe cases of asphyxia. Previously reported a mortality rate of 1.6% to 7.0% [1]. In our hospital, airway foreign bodies were removed and operated by local anesthesia. Although no risk of anesthesia, but increased the risk and difficulty of surgery, but also physical and mental harm to children. Propofol (Jingan propofol) intravenous anesthesia and sevoflurane inhalation anesthesia are induced quickly, the role of time is short, a certain degree of muscle relaxation, wake up fast and safe, airway protection.