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儿童纵隔肿瘤手术麻醉处理复杂,病情变化大,易出现各种并发症。本文分析了40例儿童纵隔肿瘤手术的麻醉特点,就术前病情估计、术中麻醉处理及麻醉中易出现的危险情况进行了探讨。 1 资料与方法 1.1 病例资料:我院儿童纵隔肿瘤全麻40例,男28例,女12例。平均年龄3.95岁(1个月～9岁),平均手术时间114.07分钟,麻醉时间147.57分钟。 1.2 麻醉方法:术前给药阿托品0.01mg/kg皮下注射,非那根1mg/kg。诱导与插管依据呼吸道受压情况分为两组:(1)慢诱导插管:氯胺酮5～8mg/kg(肌肉注射),γ-OH80～100mg/kg(静脉注射),2％利多卡因表面喷喉,气管插管:新生儿清醒插管;(2)快诱导插管:酚太尼10μg/kg+安定0.2～0.4mg/kg+潘龙0.1mg/kg静脉推注。
Children with mediastinal tumor surgery anesthesia complex, the condition changes, prone to various complications. This article analyzes the anesthesia characteristics of 40 cases of children with mediastinal tumor surgery, and discusses the preoperative condition, intraoperative anesthesia and the dangerous situation in anesthesia. 1 Materials and Methods 1.1 Case Information: 40 cases of general anesthesia in children with mediastinal tumors in our hospital, 28 males and 12 females. The average age of 3.95 years (1 month to 9 years), the average operation time 114.07 minutes, anesthesia time 147.57 minutes. 1.2 Methods of anesthesia: preoperative administration of atropine 0.01mg / kg subcutaneous injection of phenanthrene 1mg / kg. Induction and intubation were divided into two groups based on respiratory pressure: (1) slow induction of intubation: ketamine 5 ~ 8mg / kg (intramuscular injection), γ-OH80 ~ 100mg / kg (intravenous injection), 2% lidocaine The surface of the throat, endotracheal intubation: neonatal awake intubation; (2) fast induction intubation: phenolTophine 10μg / kg + stability 0.2 ~ 0.4mg / kg + Panlong 0.1mg / kg intravenous injection.