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Pierre Robin sequence is rare in clinical practice, and may challenge airway management technique of anesthesiologist.

Pierre Robin sequence的患者在临床上是极为罕见而且对麻醉医师的呼吸道操作及插管能力是一个很大的挑战。

Methods A total of 115 patients with mechanical ventilation via peroral endotracheal intubation were divided into two groups, i.e. control group given routine mouth nursing, and experimental group given additional washing with physiological saline, scraping and suction plus embrocation of Kouling.

将经口气管插管行机械通气的患者 115例分2组,对照组按口腔护理操作常规进行操作,试验组在口腔护理操作常规的基础上,采用生理盐水冲洗刮吸加口灵涂擦的方法操作,定期观察并记录发生口臭和口腔炎症的病例数。

The patient uses general anesthesia on operation flatcar hind, protect rhinal spile by anesthetist, the nurse protects vein infusion passageway, two side distribute platform car station 2 people assistance turns over.

患者在手术平车上施全身麻醉后,由麻醉师保护鼻腔插管,护士保护静脉输液通道,平车两侧分站2人协助翻身。

There was blood on the laryngoscope, common in difficult intubations.

喉镜上有血,在插管困难时是很常见。

The favourite hand-to-hand weapon of the Blood Axes is naturally an axe. This weapon is usually stuffed down a long, lace-up combat boot. True to the tradition of the clan, the Blood Axe Orks do not wipe the blood off the blade after a battle.

血斧的小子们最偏幸的搏斗武器自然是大斧,通常插在它们高腰系带战斗靴的靴管中,名符本来,它们真实有在战斗后不擦拭斧刃上血迹的古板。

The mean age was 40 days and the mean body weight was 3.77kg. Under epidural anesthesia and tracheal intubation, carbon dioxide was insufflated into abdominal cavity via a Veress needle, reaching a insufflation pressure of 10-14 mmHg. One umbilical camera port and two subcostal instrument ports were made. Results The mean operative time was 37 minutes.

在气管插管+单次硬膜外麻醉下,脐上皮肤小切口,Veress针穿刺入腹,注入CO2,建立气腹,压力为10~14mmHg(1.33~1.86kPa),此处置一4mm套管,放入腹腔镜,直视下左右上腹各置一套管,放入操作器械,完成幽门环肌切开。

MethodsFrom January 2003 to June 2008, 109 (98 males and 11 females) cases of severe OSAHS were treated with UPPP. All patients were checked with a fiber optic laryngoscope of Muller and X-ray or CT for upper air flue when they were in a waking state to locate the collapse level (oropharyngeal and palatopharyngeal level, most of them had an obstruction on the oropharyngeal level). After the UPPP, they were sent to the ICU and monitored with trachea cannula for 1 to 2days.

方法对重度OSAHS患者行UPPP联合舌骨悬吊术109例,每例患者术前均行清醒状态纤维喉镜下Muller检查、上气道的X线片或上气道CT测量,术前确定阻塞平面为腭-咽及舌-咽平面,但以舌-咽平面为主,均行UPPP联合舌骨悬吊术,术后均于ICU保留气管插管监护1~2d。

All patients were checked with a fiber optic laryngoscope of Muller and Xray or CT for upper air flue when they were in a waking state to locate the collapse level (oropharyngeal and palatopharyngeal level, most of them had an obstruction on the oropharyngeal level). After the UPPP, they were sent to the ICU and monitored with trachea cannula for 1 to 2days.

对重度OSAHS患者行UPPP联合舌骨悬吊术109例,每例患者术前均行清醒状态纤维喉镜下Muller检查、上气道的X线片或上气道CT测量,术前确定阻塞平面为腭-咽及舌-咽平面,但以舌-咽平面为主,均行UPPP联合舌骨悬吊术,术后均于ICU保留气管插管监护1~2d。

Methods Fiftyeight patients were divided into two groups. The observation group (n=32) was treated with techknowledge of subglottic secretion clean up and the control group(n=26) received routine airway care.

将58例行气管插管机械通气治疗48 h以上患者随机分为观察组(32例)和对照组(26例),对照组采用常规气道护理,观察组在此基础上实施气囊上滞留物清除技术。

In Group II, the ETTposition was determined by placing the prescribed marks on theETT at the level of the vocal cords, and in Group III, by palpatingthe ETT tip at the suprasternal notch.

在第2组,气管插管的位置由在到达声门水平的气管导管上标记规定的记号来确定。第3组,由在胸骨上切迹触摸气管导管顶端来确定。

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