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作者于1972～1982年,对15岁以下的小儿108例,进行了144次内窥镜检查。上、下消化道各占51例,内窥镜逆行性胰胆管造影(ERCP)6例。其中未满1岁者4例(最小为生后第1天)。在行上消化道检查与ERCP检查时,8岁以下儿童缺乏合作者可施行全麻。即术前1小时口服安定(10mg/kg),术前半小时肌注硫酸阿托品(0.01mg/kg),用气管内插管进行全麻,不用静脉麻醉。9岁以上同成人一样咽喉麻醉。在检查下消化道时,进行息肉切除或检查回盲部的病例可进行全麻,而检查乙状结肠、直肠时,则即使是幼儿也无需麻醉。
The author from 1972 to 1982, 108 children under 15 years of age, conducted 144 endoscopy. Upper and lower digestive tract accounted for 51 cases, endoscopic retrograde cholangiopancreatography (ERCP) in 6 cases. Of which less than 1 year old in 4 cases (minimum 1 day after birth). In line with upper gastrointestinal and ERCP examinations, general anesthesia may be administered to children under 8 years of age in the absence of co-workers. That is, 1h before oral administration of diazepam (10mg / kg), half an hour before surgery intramuscular injection of atropine sulfate (0.01mg / kg), general anesthesia with endotracheal intubation, without intravenous anesthesia. Throat anesthesia as adults over 9 years old. In the examination of the lower digestive tract, polyp resection or examination of the ileocecal cases of general anesthesia, and check the sigmoid colon, rectum, then even the young children without anesthesia.