腭裂手术患儿体质量与气管导管内径的关系探讨-麻醉学专业论文.docxVIP

导管内径的线性相关程度强于腭裂患儿年龄与气管导管内径。 结论：腭裂患儿体质量及年龄均可用于估算气管导管内径，且与应用年龄估算气管导 管内径相比，腭裂患儿应用体质量估算气管导管内径也不失为一种好方法，计算公式为气 管导管内径=2.6+0.13体质量（适用于 1～12 岁）。 关键词：腭裂，患儿，体质量，气管插管 Abstract Objective: Cleft palate is a common birth defect, it happens in the exit of the alimentary canal and the airway ,and affects the feeding, so that makes children to be innutrition and get lower weight than children who are normal ones. In the past, we usually chose the inner diameter(ID) of tracheal tube(TT) by the formula inner diameter (ID) in mm = (age in yr/4) +4.0 and clinical experience. For this kind of children, can we use the formula of the age to choose the ID of TT? The foreign scholar has reported that the body weight can be betaken to estimate the ID of TT of the children. Is the new formula of body weight more exact than the formula of age? The investigation is to discuss the relationship between body weight and ID of TT in children undergoing cleft palate operation, and try to find out the formula of body weight that can be used in the clinical work. Method : We choose the cases of the children undergoing cleft palate operation from January 2009 to June 2010 ( 262 children that include 172 boys and 90 girls). Age 1～12, mean age 4. Body weight 7～40kg. All the children don’t have the disease about the head and neck without cleft palate and cleft lip and infection. Mallanpati I ～ II, Cormack-Lehane I ～ II.. Anaesthetic ： midazolam 0.1 mg/kg, atracurium 0.5 mg/kg，fentanyl 3μg/kg，propofol 2.5 mg/kg. We use cuffed armored tracheal tube which is little air leak when we give positive airway HYPERLINK /pressure/ pressure at 15～20 cmH2O.And then give air to the cuff by no leak cuff inflation. When the tube is large or small, change the tube until the tube is fit. Record the body weight 、age and ID of TT. All children’s ID of TT are recorded by X ±s, calculate Pearson correlation HYPERLINK /coefficient/ coefficient，estimate the relationship between body weight and ID of TT and the relationship be