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氯胺酮是小儿麻醉的主要用药,口腔科用于小儿唇裂的修复术,麻醉效果确切。但因其作用时间较短,单独使用不能很好的完成手术。我院自1991年以来行唇裂手术736例,应用氯胺酮复合麻醉取得了较好的效果。1 资料和方法1.1 一般资料 本组病历共736例,男性483例,女性253例。年龄在2个月至12岁之间,其中1岁以内510例。手术持续时间在45分钟至两小时三十分钟。1.2 麻醉方法 术前6小时禁食水(1岁以内术前4小时),麻醉前30分钟肌肉注射阿托品0.01mg/kg,鲁米那钠3mg/kg,进手术室。在注射氯胺酮前10~15分钟,1
Ketamine is the main drug for pediatric anesthesia, dentistry for the repair of pediatric cleft lip, anesthetic effect is exact. However, due to its role in a short time, alone can not be very good to complete the operation. In our hospital since 1991, 736 cases of cleft lip surgery, ketamine anesthesia achieved good results. 1 Materials and Methods 1.1 General Information The group of 736 cases of medical records, 483 males and 253 females. Between the ages of 2 months and 12 years, 510 cases were within 1 year of age. Surgery duration of 45 minutes to two hours and 30 minutes. 1.2 Anesthesia Preoperative fasting water 6 hours (4 hours preoperatively within 1 year of age), 30 minutes before anesthesia intramuscular injection of atropine 0.01mg / kg, luminal sodium 3mg / kg, into the operating room. 10 to 15 minutes before injection of ketamine, 1