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困难气道婴儿术中意外脱管的麻醉处理二例 被引量:2

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摘要 例1,患儿,女,出生1个月,体重4 kg,因“哭闹3d,咳嗽、气喘伴水样便1d”入院.查体:意识清楚,精神状态差,呼吸浅促,面色及口唇发绀,咽部充血;鼻扇阳性,吸气性三凹征阳性,双肺呼吸音粗,可闻及喘鸣音.HR 176次/分,律齐,心音低钝,心前区可闻及3/6级收缩期杂音,无心包摩擦音.腹软,肝肋下4 cm,剑下2 cm.四肢肌力、肌张力正常,四肢末梢凉.血常规:WBC 6.45×10^9/L,中性粒细胞52%,淋巴细胞42%,Hb 124 g/L.静脉血气:pH 7.15,PCO2 58.9 mm Hg,PO2 33.7 mm Hg,BE-8.1 mmol/L.
出处 《临床麻醉学杂志》 CAS CSCD 北大核心 2014年第8期830-831,共2页 Journal of Clinical Anesthesiology
作者简介 通信作者:郑铁华,Email:zhengtiehua@sina.com
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  • 1满元元,陈振鸿,徐龙河,张宏.气管内肿瘤切除术的麻醉处理20例[J].中国肿瘤临床与康复,2006,13(3):219-221. 被引量:6
  • 2陈洁,刘和平,姜虹,朱也森.口腔正颌手术的麻醉进展[J].临床麻醉学杂志,2007,23(4):350-352. 被引量:17
  • 3庄心良,曾因明,陈伯銮.现代麻醉学[M].3版.北京:人民卫生出版社,2009:1086.
  • 4Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anes thesiology, 2003,98(5) : 1269-1277.
  • 5Shah PJ, Dubey KP, Yadav JP. Predictive value of upper lip bite test and ratio of height to thyromental distance compared to other multivariate airway assessment tests for difficult la- ryngoscopy in apparently normal patients. Anesthesiol Clin Pharmacol, 2013,29 (2) : 191-195.
  • 6Wilson ME, Spiegelhalter D, Robertson JA, et al. Predicting difficult intubation. Br J Anaesth, 1988,61 (2) :211-216.
  • 7Petit JS, Boulonnais C, Graftieaux JP, et al. Difficult intuba- tion related to ankylosis of temporomandibular joint after cra niotomy. Neurosurg Anesthesiol, 2005,17(3) : 174-175.
  • 8Cladis F, Kumar A,Grunwaldt L, et al. Pierre Robin Squence: a perioperative review. Anesth Analg, 2014,11 9 ( 2 ) : 400-412.
  • 9Gothwal S, Nayan S, Kumar J. Crouzon Syndrome with bony upper airway obstruction: case report and review literature. Fetal Pathol,2014,5 (1) :81-83.
  • 10Lto H, Sobue K, So MH, et al. Post extubation airway man- agement with nasal continuous positive airway pressure in a child with Down syndrome. Anesth, 2006,20 (2) : 106-108.

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