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我院近年来施行先天性脊膜膨出手术88例,男46例,女42例,年龄20d～2岁。其中脊膜膨出修补82例,脑膜膨出修补6例,麻醉前用药为阿托品和安定。42例用r-OH加氯胺酮复合麻醉,20例用r-OH加哌替啶复合麻醉,用鼻导管吸氧。26例行口腔气管插管复合麻醉,用T管及呼吸囊手控呼吸。全组患儿麻醉、手术期间生命体征平稳。2例脑膜修补术患儿6月与1(1/2)岁,手术结束后自主呼吸费力,带气管插管回监护室,患儿分别于手术后40min及2h拔除气管插管。全组无麻醉并发症,无麻醉死亡。
In our hospital in recent years, 88 cases of congenital meningocele, 46 males and 42 females, aged 20d ~ 2 years. 82 cases of which meningitis meningitis bulging, meningioma repair 6 cases, before anesthesia medication for atropine and diazepam. Forty-two patients were anesthetized with r-OH plus ketamine, and 20 patients were anesthetized with r-OH plus pethidine. Nasal cannula was used to inhale oxygen. 26 cases of oral intubation combined anesthesia, with T tube and respiratory capsule manual breathing. All children were anesthetized and their vital signs were stable during the operation. 2 cases of meningeal repair in June and 1 (1/2) years old, after the end of surgery, spontaneous breathing effort, with tracheal intubation back to custody room, children were removed after 40min and 2h tracheal intubation. The whole group had no anesthetic complications and died without anesthesia.