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本文报道了全凭异丙酚麻醉配合肌肉松驰剂用于支撑喉镜声带手术３４例。麻醉采用异丙酚２．０ｍｓ／ｋｓ静脉诱导；气管插管后，在支撑喉镜暴露手术开始时，单次补充异丙酚４０～６０ｍｇ，并持续点滴０．１％琥珀酰胆碱。结果：（１）异丙酚麻醉后。ＳＢＰ、ＤＢＰ及ＲＰＰ均降低（Ｐ＜０．０１），气管插管后又升高（变化幅度±２０％）。心率与心电图无明显变化；（２）呼吸抑制较明显，呼吸暂停发生率４４．１２％。但术毕恢复迅速，便于尽早拔出气管导管；（３）麻醉诱导迅速．效果可靠．术中无记忆，苏醒完全。结论：异丙酚麻醉适用于支撑喉镜声带手术，以及其它短小手术和一些短时间的痛苦性检查与治疗。
This article reports the use of propofol anesthesia with muscle relaxants for supporting laryngoscope vocal cord surgery in 34 cases. Anesthesia was induced with propofol 2.0ms / ks intravenously. After tracheal intubation, propofol 40-60mg was added in a single operation after propping laryngoscope exposure, and 0.1% succinylcholine was continuously instilled. Results: (1) Propofol after anesthesia. SBP, DBP and RPP decreased (P <0.01), and then increased after tracheal intubation (change range ± 20%). No significant changes in heart rate and ECG; (2) respiratory depression was more obvious, the incidence of apnea was 44.12%. However, the rapid recovery of surgery, as early as possible to pull out the tracheal tube; (3) rapid induction of anesthesia. Reliable results. No memory during surgery, wake up completely. CONCLUSIONS: Propofol anesthesia is useful for supporting laryngoscope vocal cord surgery, as well as other short surgeries and some short periods of painful examination and treatment.