论文部分内容阅读
本文对我院1988~1996年6月105例脑立体定向手术患儿(ASAⅠ~Ⅱ,平均年龄9.79±3.68岁,男/女:61/44)的麻醉资料进行了分析。结果表明,所有患儿均在局麻(0.5%普鲁卡因)基础上进行手术(手术时间1.2~4.5h).其中辅用镇静剂(安定、氟哌啶)或基础麻醉(肌注氯胺酮或哌替啶)54例(51.4%)、静脉麻醉46例(43.8%)和气管内麻醉5例(4.8%)。术中最常见的并发症为恶心呕吐(24例)、窦性心动过速(10例)/过缓(24例)和不同程度的呼吸困难(29例)。为提高手术麻醉的安全性,对围手术麻醉期应注意的几个问题,如术前用药、术中并发症处理、术中监测等进行了讨论。
This article from 1988 to June 1996 105 cases of stereotactic brain surgery (ASA Ⅰ ~ Ⅱ, mean age 9.79 ± 3.68 years, male / female: 61/44) anesthesia data were analyzed. The results showed that all children underwent local anesthesia (0.5% procaine) based on the operation (operation time 1.2 ~ 4.5h). Among them, 54 cases (51.4%) received sedatives (diazepam or haloperidol) or basic anesthesia (41.4%), 46 cases (43.8%) received intravenous anesthesia and 5 cases .8%). The most common complications were nausea and vomiting (24 cases), sinus tachycardia (10 cases) / bradycardia (24 cases) and varying degrees of dyspnea (29 cases). In order to improve the safety of surgical anesthesia, we should pay attention to several issues during perioperative anesthesia, such as premedication, intraoperative complications, intraoperative monitoring and so on.