贵州医科大学学报

1988, (02) 265-267

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高频喷射通气、小口径气管导管插管在声带显微手术中的应用
HIGH FREQUENCY JET VENTILATION AND SMALL SIZED TUBE INTUBATION ON 170 CASES OF CORD MICROSURGERY

夏元经;岑汉杰;谭明祥;
Xia Yuanjing Department of anesthesia,teaching hospital

摘要(Abstract):

本文对170例应用 KR—Ⅱ型高频喷射呼吸机,以不带气囊小口径气管插管通气,静脉复合全麻下施行声带显微喉手术作总结分析。着重介绍麻醉方法、导管口径对手术的影响、高频通气方法;并对小口径气管导管在高频通气下的安全性问题作初步分析讨论。经32例血气检查,结果表明通气效果良好,同时收到声门暴露优良,视野宽,利于手术操作,病人苏醒快的满意效果,全部病例无麻醉意外。
Microsurgery on 170 cases of vocal cord under the intravenous anesthesia with trechea intubation by the small sized non-bag tube and the high freque- ncy jet ventilation machine,type KR-Ⅱ were analyzed.The method of anesthe- sia and high frequency ventilation,the influence of the size of tube on the operation and the safety problem in such kind of anesthesia were discussed. The blood gas examination results in 32 cases showed a good anesthesia effe- ct.The surgeons were satisfied with the good exploation of the cord and the wider operative field,The patients waked up more quickly and neither accid- ent nor complication occured.

关键词(KeyWords): 麻醉;显微外科手术;喉;呼吸器;气管内插管法
Anesthesia;Microsurgery;Larynx Intubation;intratracheal

Abstract:

Keywords:

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作者(Author): 夏元经;岑汉杰;谭明祥;
Xia Yuanjing Department of anesthesia,teaching hospital

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DOI: 10.19367/j.cnki.1000-2707.1988.02.034

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