论文部分内容阅读
目的:探索小儿腹腔镜下腹股沟疝手术的麻醉方法及管理。方法:60例患者采用气管插管机械通气全身麻醉,术前输注10～20ml.kg-1平衡液,术中连续监测ECG、HR、BP、SPO2、PetCO2,并据监测PetCO2数值随时调整呼吸频率和潮气量。结果:60例患者均顺利完成手术,无1例麻醉意外及并发症。结论:麻醉处理有一定难度,但只要加强责任心,做好术前准备,加强手术呼吸循环的监测和管理,术中合理用药,尽可能减轻CO2气腹对患儿的不利影响,就能使小儿腹腔镜下手术的麻醉安全顺利地完成。气管内插管控制呼吸,全身麻醉,运用于小儿腹腔镜下腹股沟疝手术是安全可靠的。
Objective: To explore the anesthetic method and management of laparoscopic inguinal hernia surgery in children. Methods: Sixty patients underwent general anesthesia with mechanical ventilation through the endotracheal intubation. Preoperative infusions of 10 ~ 20ml.kg-1 equilibration fluid, ECG, HR, BP, SPO2 and PetCO2 were monitored continuously during the operation. Respiration was adjusted according to the value of PetCO2 Frequency and tidal volume. Results: All the 60 patients completed the operation without any anesthetic accident and complications. Conclusion: There is some difficulty in anesthesia treatment, but as long as the sense of responsibility, preoperative preparation, to strengthen the monitoring and management of surgical breathing cycles, intraoperative rational use of drugs, as far as possible to reduce the adverse effects of CO2 pneumoperitoneum on children can make Pediatric laparoscopic surgery anesthesia safely completed. Endotracheal intubation control breathing, general anesthesia, used in pediatric laparoscopic inguinal hernia surgery is safe and reliable.