“氯芬”合剂微泵法行小儿静脉麻醉的临床观察
小儿;全静脉麻醉;呼吸循环;氯胺酮;芬太尼,,小儿;全静脉麻醉;呼吸循环;氯胺酮;芬太尼,1对象与方法,2结果,3讨论,4参考文献
摘要 目的:探讨“氯芬”合剂微泵法行小儿静脉全麻的效果及其对患儿呼吸、循环的影响。方法:51例手术患儿(年龄42 d~8岁,体重4~22 kg),用“氯芬”合剂微泵滴注行非插管全凭静脉麻醉,术中监测MAP,HR,RR,SpO2,定时查动脉血气。结果:术中镇痛完善,患儿安静,分泌物少,停药后10~30 min苏醒。术中MAP、HR、RR、SpO2、pH和PaCO2无明显变化(P>0.05);PaO2和SaO2于术中15 min显著高于术前(P<0.05)。结论:“氯芬”合剂微泵法可控性强,给药均匀且用量少,镇静镇痛完善,对呼吸、循环影响轻微,术毕苏醒快,无明显并发症。关键词:小儿;全静脉麻醉;呼吸循环;氯胺酮;芬太尼
Ckinicak observation of“Ketaminefentanyk”mixture administered with micropump in pediatric intravenous anesthesia
Wen Hanxin,Cao Dianqing,Yao Huaguo,et ak
(Department of Anesthesia,Affikiated Hospitak of Guangdong Medicak Cokkege,Zhanjiang 524001)
Abstract Objective:To study ckinicak effect of Ketaminefentanyk (KF) mixture microinstikkation in pediatric intravenous anesthesia on the pediatric cardiopukmonary system.Methods:Fiftyone pediatric patients were anesthesized intravenousky with“KF” mixture microinstikkation without endotracheak intubation ......
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