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自1992年1月至1994年6月,我院儿外科共收治先天性肠道畸形18例,给用氯胺酮配合局部麻醉(未行插管)行手术治疗均存活,现小结报告如下: 1 临床资料 先天性肠道畸形18例,肠闭8例(均为Ⅰ型,其中男婴5例,女婴3例),肛闭10例(其中男婴7例、女婴3例),年龄为生后3h—72h不等,平均44h。体重力3.0kg—4.0kg,叫i均3.45kg。 2 麻醉方法 术前阿托品肌肉注射(0.04mg/kg),开放静脉,固定体位,肌肉注射氯胺酮,婴儿入睡后,切口用0.25％利多卡因浸润,麻
From January 1992 to June 1994, our hospital pediatric surgical treatment of congenital intestinal malformations in 18 cases, to give ketamine combined with local anesthesia (without intubation) underwent surgical treatment were survived, are summarized as follows: 1 clinical Data of congenital intestinal malformation in 18 cases, intestinal closure in 8 cases (all type Ⅰ, 5 cases of male infants and 3 cases of female infants), anal closure in 10 cases (7 cases of male infants and 3 cases of female infants), age 3h-72h after birth, ranging from an average of 44h. Body weight 3.0kg-4.0kg, called i are 3.45kg. 2 anesthesia intraoperative atropine intramuscular injection (0.04mg / kg), open veins, fixed position, intramuscular injection of ketamine, infants fall asleep, incision with 0.25% lidocaine infiltration, anesthesia