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目的探讨水合氯醛在皮肤科小儿局麻手术中的应用。方法 100例患儿睡眠剥夺后在术前给予水合氯醛灌肠后在手术部位进行局部麻醉,待患儿入睡5～10min后进行手术。结果 2例患儿无法诱导入睡,3例患儿术中苏醒,其余患儿5～20min后入睡。术中患儿呼吸平稳,心率正常,使手术能顺利完成,无1例患儿发生不良反应。结论小儿睡眠剥夺后在局麻术前给予水合氯醛灌肠,可以获得良好的麻醉及制动效果,临床操作简单,值得推广应用。
Objective To investigate the application of chloral hydrate in the local anesthesia of dermatology children. Methods 100 cases of children with sleep deprivation after preoperative chloral hydrate enema given local anesthesia in the surgical site, until the children fall asleep 5 ~ 10min after surgery. Results 2 cases of children can not induce sleep, 3 patients recovered during operation, the rest of the children fall asleep after 5 ~ 20min. Intraoperative respiratory arrest, heart rate normal, so that surgery can be successfully completed, no one adverse reactions in children. Conclusion Children with sleep deprivation given chloral hydrate enema prior to local anesthesia can get good anesthesia and braking effect. The clinical operation is simple and should be popularized and applied.