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目的探讨七氟醚在新生儿手术麻醉中临床应用效果。方法选择新生儿手术32例,ASAⅠ级,患儿均无明显心肺疾病,所有患儿术前常规给予阿托品0.01mg/kg肌内注射。入室后让患儿自主呼吸,面罩吸入氧气5～6L/min+8%七氟醚吸入诱导,直至患儿睫毛反射消失,所有患儿均行气管插管。结果诱导时除起初有7例发生体动反应拒吸麻醉药外,诱导过程均顺利。呼吸道分泌物少,肌松良好,插管条件良好。无呛咳、喉痉挛、支气管痉挛发生。血压、心率无明显波动,诱导过程顺利。术中维持平稳,术后自主呼吸很快恢复,苏醒快而完全。结论七氟醚应用于新生儿手术麻醉中临床效果满意,安全可靠。
Objective To investigate the clinical effect of sevoflurane in neonatal anesthesia. Methods 32 cases of neonatal surgery, ASA Ⅰ grade, no obvious heart and lung disease in children, all children preoperative routine administration of atropine 0.01mg / kg intramuscular injection. Into the room to allow children to breathe spontaneously, mask inhalation of oxygen 5 ~ 6L / min +8% induction of sevoflurane until lashes reflex disappeared in children, all children underwent endotracheal intubation. Results In addition to initial induction of anesthesia in 7 cases, the induction process was smooth. Less respiratory secretions, muscle relaxation well, intubation conditions are good. No cough, laryngospasm, bronchospasm. Blood pressure, heart rate no significant fluctuations, the induction process is smooth. Intraoperative stable, postoperative spontaneous breathing quickly restored, wake up quickly and completely. Conclusion Sevoflurane is safe and reliable in the clinical application of neonatal anesthesia.