华西口腔医学杂志

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静吸复合加局部阻滞麻醉在婴儿唇裂整复术中的应用

张永明,王淼   

  1. 四川大学华西口腔医院 麻醉科,四川 成都610041
  • 收稿日期:2005-06-25 修回日期:2005-06-25 出版日期:2005-06-20 发布日期:2005-06-20
  • 通讯作者: 张永明, Tel: 028-85502116
  • 作者简介:张永明(1948-),男,四川人,副教授,学士

Combined Local Block Anesthesia and General Anesthesia in Cleft Lip Repairing Operation of Infants

ZHANG Yong- ming,WANG Miao   

  1. Dept.ofAnesthesiology,West China College ofStomatology,Sichuan University,Chengdu610041,Chi- na
  • Received:2005-06-25 Revised:2005-06-25 Online:2005-06-20 Published:2005-06-20

摘要: 目的 总结静吸复合加局部阻滞麻醉在婴儿唇裂整复术中的价值和观察要点。方法 在120例婴儿唇裂 整复术中采用静吸复合加局部阻滞麻醉,用力月西、芬太尼、氯胺酮、司可林或万可松诱导插管,吸入异氟醚或安氟 醚维持麻醉,术区注入含1/250 000肾上腺的0·5%~1%利多卡因,严密监测血压、脉搏、呼吸、血氧饱和度、体温、心 电图等,麻醉师仔细观察综合判断,对呼吸道感染后恢复期的患儿吸氧并延迟拔管。结果 120例婴儿唇裂整复术 中麻醉平稳,术毕苏醒快,无1例出现意外。结论 静吸复合加局部阻滞麻醉用于婴儿唇裂整复术,麻醉平稳,围 手术期内环境稳定,出血少,清醒快,安全性高。

关键词: 唇裂整复术, 婴儿, 麻醉

Abstract: Objective Summarizing the value and key point of combined use of local block anesthesia and general anesthesia in cleft lip repairing for infants.Methods Local block anesthesia and general anesthesiawere combined to use in 120 cleft lip re- pairing operation of infants usingMidazolam, Fentangl, Ketamine, Scoline (orVecuronium) in intubation, and injecting 0.5%~ 1% lidocaine of which contained 1/250 000 adrenalinum. While intubation and operation, BP, P, R, SpO2, T and ECG were observed clearly. After operation, extubation was delayed and breathing oxygen was used for infants with breathing airway infec- tion.Results While operation, anesthesia of 120 infants was smooth. After operation, the infants regain conscious quickly and no accident occurred.Conclusion For the cleft lip repairing operation to infants, as combined use of local block anesthesia and general anesthesia, anesthesia is smooth, internal environment of body is steady, bleeding is little, regaining consciousness is quick and the infants are safe.

Key words: cleft lip repairing operation, infant, anesthesia