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目的:为寻找小儿唇裂修复术一较好的麻醉方法。方法:264 例小儿唇裂修复术中以硫贲妥钠基础麻醉48 例,以氯胺酮为主的麻醉216 例,此剂量按1~2mg/kg 计算的量分次静脉注射,或用0-1% 的浓度静脉滴注,1 岁以上小儿辅以杜冷丁等镇痛药,其中气管插管13 例。结果:在气管插管的13 例中,发生喉痉挛1例,喉头水肿9 例,未行气管插管的251 例中无1 例发生并发症。结论:以氯胺铜为主的静脉麻醉,不行气管插管是小儿唇裂修复术一种较好的麻醉方法。
Objective: To find a better pediatric cleft lip repair method of anesthesia. Methods: A total of 264 cases of pediatric cleft lip repair anesthesia with thiopental sodium 48 cases, ketamine-based anesthesia in 216 cases, the dose by 1 ~ 2mg / kg calculated amount of intravenous injection, or with 0-1% The concentration of intravenous drip, 1-year-old children with pethidine and other analgesics, including tracheal intubation in 13 cases. Results: In 13 cases of tracheal intubation, laryngeal spasm occurred in 1 case, laryngeal edema in 9 cases, without intubation in 251 cases, 1 case of complications. Conclusion: Cu-amine-based intravenous anesthesia, not tracheal intubation is a better method of anesthesia in pediatric cleft lip repair.