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目的探讨小儿食管异物取出术的麻醉方式。方法选择年龄10个月～6岁、ASAⅠ～Ⅱ级的患儿68例,随机分为三组:A组22例,采用氯胺酮麻醉;B组26例,采用丙泊酚复合芬太尼静脉麻醉,保留自主呼吸,不作气管插管;C组20例,采用气管插管下丙泊酚复合芬太尼静脉麻醉。结果 A组成功率为64%;B组、C组成功率为100%,其中B组38%SPO2≤90%。结论气管插管下丙泊酚复合芬太尼静脉麻醉应用于小儿食管异物取出术安全有效。
Objective To investigate the anesthetic mode of pediatric esophageal foreign body removal. Methods A total of 68 ASA Ⅰ ~ Ⅱ children aged from 10 months to 6 years old were randomly divided into three groups: group A (n = 22), ketamine anesthesia; group B (n = 26), propofol combined with fentanyl , To maintain spontaneous breathing, not for endotracheal intubation; C group of 20 patients were treated with propofol combined with fentanyl intravenous anesthesia. Results The success rate of group A was 64%. The success rate of group B and group C was 100%, and group B 38% SPO2≤90%. Conclusion Tracheal intubation propofol combined with fentanyl intravenous anesthesia in children with esophageal foreign body removal is safe and effective.