儿童气管支气管异物取出术发生低氧血症的相关因素分析
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郑州大学附属儿童医院、河南省儿童医院、郑州儿童医院

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河南省医学科技攻关计划联合共建项目(2018020653)


Factors associated with hypoxemia in tracheobronchial foreign body removal in children
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    目的:探讨全麻下硬性支气管镜下儿童气管支气管异物取出术发生低氧血症的相关因素。方法:回顾性研究432例全麻下气管支气管异物患儿的临床资料,分析术中低血氧血症发生程度与年龄、异物停留位置、异物停留时间及术前肺部并发症的相关性。结果:术中轻度、中度低氧血症发生与年龄、异物停留位置、异物停留时间及术前肺部并发症之间不存在相关关系(P>0.05),而年龄、异物停留位置、异物停留时间及术前肺部并发症和术中重度低氧血症发生存在相关性。结论:年龄、异物停留位置、异物停留时间及术前肺部并发症和术中重度低氧血症发生存在相关性。

    Abstract:

    Objective: Factors associated with hypoxemia in tracheobronchial foreign body removal in children under rigid bronchoscopy under general anesthesia. Method: The clinical data of 432 children with tracheobronchial foreign bodies under general anesthesia were retrospectively studied, and the correlation between the degree of intraoperative hypoxemia and age, the position of foreign body stay, the time of foreign body stay and preoperative pulmonary complications was analyzed. Result: There was no correlation between the occurrence of mild and moderate intraoperative hypoxemia and age, foreign body stay position, foreign body stay time and preoperative pulmonary complications (P>0.05), but there was a correlation between age, foreign body stay position, foreign body stay time and preoperative pulmonary complications and severe intraoperative hypoxemia. Conclusion: Age, location of foreign body stay, length of foreign body stay and preoperative pulmonary complications were correlated with the occurrence of severe intraoperative hypoxemia.

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  • 收稿日期:2022-04-04
  • 最后修改日期:2022-05-05
  • 录用日期:2022-05-06
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