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我院于1996年7月至1997年10月间先后发生4例小儿腭裂手术麻醉期间高热惊厥,苏醒延迟。经积极治疗,未出现严重并发症。1 临床资料 4 例先天性腭裂修补术患者中男3例,女1例,年龄5～8岁,体重15～22.5kg。术前用药安定0.2mg/kg,阿托品0.02mg/kg。麻醉诱导用氯胺酮2mg/kg,琥珀胆碱1.0～1.5mg/kg,气管插管后用RY-ⅡB麻醉机控制呼吸,用日本Colin监护仪监测各项生理指标。术中用普芬合剂(2%普鲁卡因500ml+芬太尼0.2mg+琥珀胆碱400mg)稀释一倍后维持麻醉。下表列出4例温度、高热及昏迷时间的对比资料。
Our hospital from July 1996 to October 1997 occurred in 4 cases during pediatric cleft palate fever during the febrile seizures, wake up delay. After active treatment, no serious complications. 1 Clinical data 4 cases of congenital cleft palate repair in 3 males and 1 females, aged 5 to 8 years old, weighing 15 ~ 22.5kg. Preoperative medication stability 0.2mg / kg, atropine 0.02mg / kg. Induction of anesthesia with ketamine 2mg / kg, succinylcholine 1.0 ~ 1.5mg / kg, after intubation with RY-Ⅱ B anesthesia machine to control breathing, the Japanese Colin monitor to monitor the physiological indicators. Intraoperative use of Pfizer mixture (2% procaine 500ml + fentanyl 0.2mg + succinylcholine 400mg) was diluted to maintain anesthesia. The following table lists 4 cases of temperature, fever and coma time contrast data.