国际麻醉学与复苏杂志   2012, Issue (3): 6-6
    
经喉罩七氟醚吸入麻复合骶管阻滞在小儿脐以下手术中的使用
赖桂勇, 黄光梅, 李水忠, 周育华1()
1.广西医科大学附属贵港市人民医院
Laryngeal mask the Sevoflurane inhaled linen Composite di tube in Children below Hilum Block the use of Surgery
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摘要:

摘 要: 目的 观察经喉罩七氟醚吸入麻醉复合骶麻在小儿脐以下手术中的临床应用效果。 方法 选择37例择期行脐以下手术的患儿,年龄1-5岁,体重8-23 kg,ASAⅠ-Ⅱ级,均无呼吸、循环及神经系统疾病。术前禁食6h,禁饮4h,术前30min肌注阿托品。以七氟醚诱导后置入喉罩,经喉罩吸入2-3%七氟醚维持麻醉,后经骶管单次注入0.2%罗哌卡因。罗哌卡因最大剂量2.5mg/kg。可加1/20万肾上腺素延伸术后镇痛时间。观察术中的麻醉效果和术后患儿反应。 结果 经喉罩七氟醚吸入全麻复合骶管阻滞在小儿手术的应用,术中经过平稳 ,麻醉恢复快,术中及术后不良反应少。

关键词: 关键词 喉罩;七氟醚;骶管阻滞;小儿手术。
Abstract:

Abstract:Objective Observe th laryngeal maesk sevoflurane inhaled anesthesia composite di linen in children below hilum surgery the clinical application effect. Methods Choose elective line 37 cases of children below hilum surgery.Age 1-5 years old, 8-23 kg weight, ASA Ⅰ-Ⅱ level, there are no respiration, circulation and disease of the nervous system. 6 h, the preoperative fast to drink 4 h, preoperative 30 min muscle note atropine. To sevoflurane after induction into the laryngeal mask, laryngeal mask inhaled 2-3% sevoflurane anesthesia, maintain after di tube into single 0.2% ROM pp improve. ROM. Pp 2.5 mg/reliability maximum dose kg. Can add 1/20 adrenaline extended time postoperative analgesia. Observe the anesthesia and surgery was effect of children of the reaction. Results Laryngeal mask the sevoflurane inhaled anesthesia composite di tube block, the application of surgery in children intraoperative after smoothly, anesthesia faster recovery, preoperative and postoperative fewer side effects.

Key words: Key words Laryngeal mask. Sevoflurane; Di tube block; Pediatric surgery