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氯胺酮有较好的镇痛、镇静作用,对各器官毒性很少,可以重复用药,故氯胺酮广泛用于小儿手术。由于氯胺酮无肌松作用,也不抑制内脏反射,作用时间又短,难以满足小儿腹部手术的要求。而硬膜外麻醉具有良好的肌松作用,作用时间较长,可以重复给药,两者结合能够满足小儿腹部手术的特点。现将51例小儿腹部手术的麻醉报道如下: 1 临床资料 本组51例,其中男性32例,女性19例,年龄最小的3个月,最大的10岁,其中6个月以内的4例,6个月—1岁的6例,2岁—7岁的17例,8岁以上的24例,体重4—28Kg。 手术种类:肠梗阻、肠套叠11例,肝部肿瘤7例,先
Ketamine has better analgesic and sedative effects, little toxicity to various organs and can be repeatedly used, so ketamine is widely used in pediatric surgery. As ketamine without muscle relaxants, nor inhibit visceral reflex, the role of time and short, difficult to meet the requirements of pediatric abdominal surgery. The epidural anesthesia has a good muscle relaxant effect, longer duration, can be repeated administration, the combination of the two can meet the characteristics of pediatric abdominal surgery. Now 51 cases of pediatric abdominal surgery anesthesia reported as follows: 1 Clinical data The group of 51 patients, 32 males and 19 females, the youngest 3 months, the largest 10-year-old, of which 6 months within 4 cases, 6 months -1 years old in 6 cases, 2 years old -7 years old in 17 cases, 8 years old in 24 cases, weight 4-28Kg. Surgical categories: intestinal obstruction, intussusception in 11 cases, 7 cases of liver cancer, first