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小儿咽后组织瓣转移一期成型腭裂修复术是比较精细的手术,多采用气管内插管全麻。兹将经口气管内插管全麻(简称气插组)89例与经气管造口全麻(简称气切组)48例的麻醉效果及并发症比较如下。 资料与方法 全组137例,3～6岁56例,7～12岁81例,手术时间5/3～3h,术前全身情况良好。 术前用药肌注阿托品或东莨菪碱,氯胺酮安定基础麻醉后入室。气插组以羟丁酸钠和琥珀胆碱静脉注射,经口气管内插管,将导管固定于一侧口角。气切组加局麻下行气管造口术,置入气管套管。体重不足15kg
Pediatric posterior pharyngeal flap transfer a repair of cleft palate surgery is a more detailed surgery, the use of endotracheal intubation general anesthesia. It will be oral endotracheal intubation general anesthesia (referred to as gas plug group) 89 cases and tracheal general anesthesia (gas-cut group) 48 cases of anesthesia and complications are as follows. Materials and Methods The whole group of 137 cases, 56 cases of 3 to 6 years old, 7 to 12 years old in 81 cases, operation time 5/3 ~ 3h, preoperative systemic conditions are good. Preoperative medication intramuscular injection of atropine or scopolamine, ketamine sedative base anesthesia into the room. Gas group with sodium oxybate and succinylcholine intravenous intubation endotracheal tube, the catheter fixed in the side of the mouth. Gasotome plus local anesthesia tracheostomy, into the tracheal tube. Weight less than 15kg