喉罩全麻下纤维支气管镜取儿童支气管异物的临床应用

Clinical application of fiber bronchoscope to take bronchial foreign body in children under general anesthesia with laryngeal mask airway

摘要:

目的   评估全麻经喉罩行纤维支气管镜取儿童气管支气管异物的安全性及效果。方法   回顾性分析6年间该院在喉罩全麻下纤维支气管镜取儿童气管支气管异物57例。结果  57例气管支气管异物均1次手术取出成功，全部病例经皮血氧饱和度、心率等生命体征平稳，有5例钳取肉芽组织出现少量出血，未出现喉水肿、喉痉挛和心跳呼吸骤停等并发症。结论   喉罩全麻下纤维支气管镜取儿童支气管异物手术安全有效，值得推广。

Abstract:

Objective To evaluate the efficacy and safety of fiber bronchoscope to take bronchial foreign body in children under general anesthesia with laryngeal mask airway. Methods 57 cases of fiber bronchoscope to take bronchial foreign body in children under general anesthesia with laryngeal mask airway were analyzed in 6 years. Results 57 cases of bronchial foreign body were removed successfully, all cases of SpO2, heart rate and other vital signs were stable, 5 cases of forceps to take granulation tissue appeared a little blood, there were no complications such as edema of the larynx, laryngospasm, cardiopulmonary arrest. Conclusions It is safe and effective for fiber bronchoscope to take bronchial foreign body in children under general anesthesia with laryngeal mask airway, and it is worth of generalization.