摘要
为了观察氯胺酮、安定静脉复合麻醉对小儿血流动力和呼吸功能的影响，选择４６例中小型手术的患儿，用Ｐａｓｓｐｏｒｔ多导监护仪连续监测ＢＰ、ＨＲ、ＳＰＯ２和用ＴＥＰＬｕｓ呼气末二氯化碳浓度监测仪连续监测ＰＥＴＣＯ２、Ｒ。结果：麻醉后ＢＰ升高、ＨＲ增快，麻醉前后有显著性差异（Ｐ＜０．０１）；ＢＰ增高值与麻醉前相比小于１０％的有７例，１０％～２０％的有３３例，２０％～２４％的有６例，ＨＲ增快值均小于１５次／ｍｉｎ；Ｒ减慢、ＳＰＯ２＞９５％、ＰＥＴＣＯ２＜５．７３ＫＰａ在临床允许值范围内，麻醉前后无显著性差异（Ｐ＞０．０５）。作者体会：氯胺酮、安定静脉复合麻醉对小儿血流动力学和呼吸影响甚微，是简便、安全、实用的小儿麻醉方法。
The changes of hemodynamics and pulmonary functions during intravenous Ketamine and Diazepam balanced anesthesia were observed in 46 child patients undergoing small to medium operation. The results show that after anesthesia,BP and HR increased.Both have statistical difference compared preand post-anesthesia(P<0.01).BP increased by 1～10%,10～20%and20～40%in 7、33 and 6 cases respectively.The change of R、S PO2 and PET CO2 have no statistical difference compared pre,and post-anesthsia (P>0.05).SPO2 was above 95%and PET CO2 was Less than 5.73 KPa.Both are in range of clinical permission.A few side effect was observed in hemodynamics and pulmonary functions during the course of anesthesia and it is concluded that this balanced anesthesia may be an effective,simple and safety one in the clinic.
出处
《河北医学》
CAS
1996年第5期423-425,共3页
Hebei Medicine
关键词
氯胺酮
安定
静脉复合麻醉
麻醉
ketamine
diazepam
intravenous balanced anesthesia
