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小儿腭裂修复术是整形、颌面外科常见手术,如何保证病儿在麻醉围手术期的安全及术后的平稳是不容忽视的问题。我院自1987年12月至1998年12月间有资料记载1～12岁小儿腭裂518例,其中出现并发症及意外41例,发生率为7.9％,现就其原因及处理结果分析总结如下: 一、临床资料 1.一般资料:41例中,男29例,女12例,体重10～45kg,1～4岁4例,5～8岁23例,9～12岁14例,手术时间40min～170min。 2.麻醉方法:常规术前用药,体重20kg以下小儿肌注氯胺酮4～6mg·kg,r-OH 80～100mg·kg静注,用2％利多卡因作口咽
Pediatric cleft palate repair surgery is a common surgery, maxillofacial surgery, how to ensure that sick children in perioperative anesthesia and postoperative stability is not a problem to be ignored. Our hospital from December 1987 to December 1998 data recorded in children aged 1-12 years of cleft palate in 518 cases, of which complications and accidents occurred in 41 cases, the incidence was 7.9%, the reason and the results of treatment are summarized as follows : 1, clinical data 1 General Information: 41 cases, 29 males and 12 females, weight 10 ~ 45kg, 1 to 4 years in 4 cases, 5 to 8 years in 23 cases, 9 to 12 years in 14 cases, operative time 40min ~ 170min. 2. Anesthesia methods: conventional preoperative medication, weighing 20kg or less intramuscular injection of ketamine 4 ~ 6mg · kg, r-OH 80 ~ 100mg · kg intravenously, with 2% lidocaine oropharynx