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我院于今年四月份做漏斗胸患儿矫形术8例,男6例,女2例,体重12～22kg,年龄最小3岁,最大9岁,术前胸部X片示心影左移,7例示肺纹理增粗,仅1例心电图示窦性心律不齐。 麻醉前30min常规肌注东莨菪碱0.01mg/kg、异丙嗪1mg/kg。肌注氯胺酮4～6mg/kg诱导,开放1～2条静脉通路,面罩吸氧,以静脉推注芬太尼3μg/kg、阿托品0.02mg/kg、r-OH100mg/kg、安定0.3mg/kg慢诱导。当下颌松弛、咽喉反射减弱,再加咽喉表面麻醉下插管,接RY-ⅡB型麻醉机,然后在侧卧位下取T_(7～8)或T_(8～9)行单次硬膜外麻醉,推注2％利多卡因和
My hospital in April this year, funnel chest pediatric orthopedic surgery in 8 cases, 6 males and 2 females, weight 12 ~ 22kg, the youngest 3 years old, maximum 9 years old, preoperative chest X-ray showed left ventricular shadow, 7 Example thickening of the lungs, only 1 case of ECG showed sinus arrhythmia. 30min before anesthesia routine intramuscular injection of scopolamine 0.01mg / kg, promethazine 1mg / kg. Intramuscular injection of ketamine 4 ~ 6mg / kg induction, open 1 or 2 venous access, mask oxygen, intravenous injection of fentanyl 3μg / kg, atropine 0.02mg / kg, r-OH100mg / kg, stability and 0.3mg / kg Slow induction. When the mandibular relaxation, throat reflex, plus throat surface anesthesia intubation, followed by RY-Ⅱ B anesthesia machine, and then in the lateral position to take T_ (7 ~ 8) or T_ (8 ~ 9) External anesthesia, bolus 2% lidocaine and