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在儿童中作介入性血管造影及治疗,操作技术上与成人有所不同。近年我们对42例患儿应用介入性血管造影术体会如下。 1.一般资料 本组患儿42例,男29例,女13例,年龄0.5～12岁。采用岛津1000mAC臂机检查,电影摄影及录像记录。手术前后常规给予抗生素,术后随访均无并发症发生。病例:脑血管造影及肿瘤化疗17例,肾动脉造影及化疗和栓塞14例,胸主动脉造影(肺隔离症)2例,肾静脉造影4例,四肢血管造影4例,脾动脉造影及栓塞1例。 2.讨论 麻醉:大部患儿检查时需作全麻,10岁以上可作局麻。全麻用氯胺酮静脉给药,首次剂量2mg/kg,追加时1mg/kg,安定0.2～0.3mg/kg静注为辅助用药,术中用经皮血氧饱和度测定仪监护,并做好气管插管准备。 穿刺:采用Seldinger穿刺技术,经股动脉将导管送
Interventional angiography and treatment in children are technically different from adults. In recent years, 42 cases of children with our interventional angiography experience as follows. 1. General Information The group of 42 children, 29 males and 13 females, aged 0.5 to 12 years. Shimadzu 1000mAC arm machine inspection, film photography and video recording. Antibiotics were given routinely before and after surgery and no complication occurred after follow-up. Cases: Cerebral angiography and tumor chemotherapy in 17 cases, renal artery angiography and chemotherapy and embolism in 14 cases, thoracic aortography (pulmonary sequestration) in 2 cases, renal vein angiography in 4 cases, limbs angiography in 4 cases, splenic artery angiography and embolism 1 case. 2. Discussion anesthesia: Most children need to be checked for general anesthesia, 10 years of age can be used for local anesthesia. General anesthesia with ketamine intravenous administration, the first dose of 2mg / kg, additional 1mg / kg, stability and 0.2 ~ 0.3mg / kg intravenous injection for the auxiliary medication, intraoperative monitoring with percutaneous oxygen saturation meter, and tracheal Intubation preparation. Puncture: The Seldinger puncture technique is used to deliver the catheter through the femoral artery