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作者于Junkin CI大夫52年后,再次总结了加拿大多伦多病院34个患儿(ASAI)年令7～13岁,在腰麻下作腹部小手术或下肢矫形术的经验。术前药,安定0.1mg/kg,术前2小时服,2岁以上的患儿尽量使其舒服,用讲故事、电视录像放映Walt Disney动画片分散他们的注意力,2岁以下儿童在腰穿时静注安定0.1mg/kg和/或芬太尼20μg/kg,一律用L_(3-4)或L_(4-5)椎间隙,随皮肤准备和1％利多卡因浸润后,用18G针在皮肤上作1mm裂口,在坐位或侧卧位作腰穿,9岁以下的儿童用24G Angiocath的空心细针心。大的儿童用22G腰穿针,局麻药采用比重0.75％丁吡卡因或1％丁卡因,
Fifty-two years after Dr. Junkin CI, MD, again summarizes the experience of 34 years of age at ASAI in Toronto aged 7-13 years undergoing abdominal surgery or lower limb orthopedic surgery under spinal anesthesia. Preoperative medicine, diazepam, 0.1 mg / kg diazepam, 2 hours preoperatively and more than 2 years of age were as comfortable as possible to distract their attention with storytelling, video recordings of Walt Disney cartoons, children under 2 years of age at the waist When wearing diazepam 0.1mg / kg and / or fentanyl 20μg / kg, all with L_ (3-4) or L_ (4-5) intervertebral space, with the skin preparation and 1% lidocaine infiltration with 18G needles on the skin for 1mm gap in the sitting or lateral position for lumbar puncture, children under 9 years of age with 24G Angiocath hollow fine needle heart. Large children with 22G lumbar puncture, local anesthetic drugs with a proportion of tetracycline 0.75% or 1% tetracaine,