期刊导航

论文摘要

静吸复合加局部阻滞麻醉在婴儿唇裂整复术中的应用

Combined Local Block Anesthesia and General Anesthesia in Cleft Lip Repairing Operation of Infants

作者:张永明,王淼

Author:ZHANG Yong- ming,WANG Miao

收稿日期:2005-06-25          年卷(期)页码:2005,23(03):223-

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:唇裂整复术,婴儿,麻醉,

Key words:cleft lip repairing operation,infant,anesthesia,

基金项目:

中文摘要

目的 总结静吸复合加局部阻滞麻醉在婴儿唇裂整复术中的价值和观察要点。方法 在120例婴儿唇裂 整复术中采用静吸复合加局部阻滞麻醉,用力月西、芬太尼、氯胺酮、司可林或万可松诱导插管,吸入异氟醚或安氟 醚维持麻醉,术区注入含1/250 000肾上腺的0·5%~1%利多卡因,严密监测血压、脉搏、呼吸、血氧饱和度、体温、心 电图等,麻醉师仔细观察综合判断,对呼吸道感染后恢复期的患儿吸氧并延迟拔管。结果 120例婴儿唇裂整复术 中麻醉平稳,术毕苏醒快,无1例出现意外。结论 静吸复合加局部阻滞麻醉用于婴儿唇裂整复术,麻醉平稳,围 手术期内环境稳定,出血少,清醒快,安全性高。

英文摘要

Objective Summarizing the value and key point of combined use of local block anesthesia and general anesthesia in cleft lip repairing for infants.Methods Local block anesthesia and general anesthesiawere combined to use in 120 cleft lip re- pairing operation of infants usingMidazolam, Fentangl, Ketamine, Scoline (orVecuronium) in intubation, and injecting 0.5%~ 1% lidocaine of which contained 1/250 000 adrenalinum. While intubation and operation, BP, P, R, SpO2, T and ECG were observed clearly. After operation, extubation was delayed and breathing oxygen was used for infants with breathing airway infec- tion.Results While operation, anesthesia of 120 infants was smooth. After operation, the infants regain conscious quickly and no accident occurred.Conclusion For the cleft lip repairing operation to infants, as combined use of local block anesthesia and general anesthesia, anesthesia is smooth, internal environment of body is steady, bleeding is little, regaining consciousness is quick and the infants are safe.

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