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20例静脉全麻病人静注异丙酚(propofol)2.5mg/kg诱导插入喉罩,评价其临床效果。结果表明,异丙酚诱导起效快,平均28.6s眼睑反射消失,插管时18例下颌松弛满意,17例单次剂量后对喉罩耐受良好,3例因呃逆呛咳等分别追加20~40mg相同药物。诱导后收缩压和舒张压较诱导前明显下降(P<0.001),而插入喉罩并没有引起明显血液动力学改变,诱导中16例出现呼吸暂停,但几分钟内即恢复自主呼吸。作者认为,异丙酚是插入喉罩较理想的麻醉诱导药,使用中应注意其呼吸及循环抑制作用。
Twenty patients undergoing intravenous anesthesia were propofol 2.5 mg / kg intravenously, and their clinical effect was evaluated. The results showed that propofol induced rapid onset, an average of 28.6s eyelid disappearance of mandibular mandibular relaxation satisfied, 17 cases of a single dose of laryngeal mask well tolerated, 3 cases of hiccups cough, etc. were added 20 ~ 40mg the same drug. After induction, systolic and diastolic blood pressures were significantly lower than before induction (P <0.001). However, no significant hemodynamic changes were found in the laryngeal mask, and apnea apnea occurred in 16 patients during induction, but spontaneous breathing was restored in a few minutes. The authors believe that propofol is an ideal induction of anesthesia into the laryngeal mask insertion, use should pay attention to its respiratory and circulatory inhibition.