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修复小儿唇裂腭裂常用全麻。但在全麻过程中如不慎,可能发生麻醉意外,严重者可以造成死亡。1964年周树夏曾报告268例唇裂修复术中呼吸道梗阻死亡1例,1964年伍祖馨曾报告唇裂修复术全麻过量死亡1例。我院口腔科从1958年起在全麻下修复唇裂174例,其中遇麻醉过量死亡1例;在全麻下修复腭裂78例中呼吸道梗阻死亡1例。为了吸取教训报告如下: 病历摘要例1 汪某,男,8个月。先天性唇裂软腭裂。全身检查,胸透,血象均正常。1959年5月20日在醚氧冲气麻醉下,准备施行唇裂修复术,由于乙醚开放诱导时用药过量,患儿突然呼吸骤停,随之心跳停止,经抢救无效而死亡。
Pediatric cleft lip repair common general anesthesia. However, such as accidental anesthesia, anesthesia may occur unexpectedly, severe cases can cause death. In 1964, Zhou Shuxia once reported 268 cases of respiratory tract obstruction in the repair of cleft lip in 1 case. In 1964, Wu Zuxin had reported an excessive death of general anesthesia in cleft lip repair. In our hospital, there were 174 cases of cleft lip repair under general anesthesia since 1958, of which 1 case died of excessive anesthesia and 1 case died of respiratory tract obstruction in 78 cases of cleft palate under general anesthesia. In order to learn lessons learned as follows: Case Summary 1 Wang Mou, male, 8 months. Congenital cleft lip cleft palate. Whole body examination, chest X-ray, blood are normal. May 20, 1959 anesthesia in ether oxygen gas, ready for the implementation of cleft lip repair, due to ether overdose induced by induction, sudden respiratory arrest, followed by heartbeat, died of rescue ineffective.