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[目的 ]总结 42例小儿先天性心脏病心内直视手术的麻醉体会 ,并探索合理的麻醉方法 .[方法 ]静脉注射氯胺酮或硫喷妥钠及芬太尼、潘库溴胺后行气管插管 ,衔接麻醉机作机械通气 ,吸入安氟醚0 .5 %～ 1.0 % ,监测挠动脉平均动脉压、心电图、中心静脉压、体温、血气、尿量 .[结果 ]本组 42例的麻醉效果均良好 ,未发生并发症或死亡 .[结论 ]静吸复合全身麻醉是小儿先天性心脏病心内直视手术的合理麻醉方法 .
[Objective] To summarize the anesthetic experience of 42 cases of open heart surgery in children with congenital heart disease and to explore a reasonable method of anesthesia. [Methods] After intravenous injection of ketamine or thiopental and fentanyl, pancuronium Intubation, anesthesia machine for mechanical ventilation, inhalation of enflurane 0 .5% ~ 1.0%, monitoring of mean arterial pressure, ECG, central venous pressure, body temperature, blood gas, urine output. [Results] The group of 42 patients The anesthesia effect was good, no complications or death occurred. [Conclusion] The combined inhalation and inhalation anesthesia is a reasonable anesthetic method for open heart surgery in children with congenital heart disease.