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作者选择76例小儿腹部大手术后硬膜外注吗 啡镇痛。从新生儿到13岁。年龄中位数为12个月。全麻后经L2～3间隙硬膜外置管注0.25％丁哌卡因0.5～0.7mg/kg,90min后再注原剂量的1/3～1/2。术后先注吗啡50mg/kg,在12～24小时内还从硬膜外注入丁哌卡因原剂量的1/3～1/2每2～3小时一次。以后吗啡剂量逐日减少,必要时每6小时用扑热息痛20～25mg/kg肛栓。
The authors selected epidural morphine analgesia for 76 pediatric abdominal surgery. From newborn to 13 years old. The median age was 12 months. After general anesthesia via L2 ~ 3 gap epidural catheter 0.25% bupivacaine 0.5 ~ 0.7mg / kg, 90min and then note the original dose of 1/3 ~ 1/2. After the first injection of morphine 50mg / kg, in 12 to 24 hours also from the epidural bupivacaine infusion of the original dose of 1/3 to 1/2 once every 2 to 3 hours. Morphine dose decreased day by day, if necessary, paracetamol every 6 hours 20 ~ 25mg / kg anal suppository.