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目的探讨耳内窥镜联合七氟醚吸入麻醉应用于儿童耵聍取出术的安全性和可行性。方法门诊耵聍栓塞患儿34例(58耳),不能配合额镜直视耵聍取出,手术室内生命体征监测下吸入七氟醚,待患儿安静入睡、疼痛反射消失,于硬性耳内窥镜下应用耳科显微手术器械取出耵聍,术毕监测至患儿完全清醒。结果全部患耳耵聍均一次性取出;7例(8耳)外耳道壁轻微破损,无鼓膜受损,平均手术时间5-10min,患儿术后清醒状态良好,无恶心、头痛不适,未见呕吐等麻醉并发症。结论耳内窥镜联合七氟醚吸入麻醉应用于儿童耵聍取出安全、可行,具有无痛、无创、时间短等显著优势。
Objective To investigate the safety and feasibility of using endoscopic inhalation combined with sevoflurane inhalation anesthesia in the removal of children gallbladders. Methods Outpatients were enrolled in this study. Thirty-four children (58 ears) were enrolled in this study. They were not able to take out the frontal sciatus with frontal mirror. Sevoflurane was inhaled under vital signs in the operating room. When the child was asleep and the pain reflex disappeared, Microscopic otological application of otolaryngology microsurgery removed, surgery was completed until the patient was fully awake. Results All cases of ear 耵 耵 were removed at one time; 7 cases (8 ears) of the external auditory meatus wall slightly damaged, no tympanic membrane damage, the average operation time 5-10min, awake children with good condition, no nausea, headache discomfort, no Vomiting and other anesthetic complications. Conclusion Anesthesia with endoscope and sevoflurane inhalation anesthesia is safe and feasible for removal of baby gall bladder. It has the advantages of painless, noninvasive, short time and so on.