摘要
目的观察七氟烷吸入麻醉用于小儿深静脉置管术麻醉效果和安全性。方法40例患儿,病种均为急性淋巴细胞性白血病。入手术室后面罩直接吸纯氧(1L/min),加七氟烷,快速升高七氟烷的吸入浓度(调节至5%或6%),直至患儿睫毛反射消失,维持浓度控制在1～3%。所有患儿均行锁骨下静脉穿刺留置Arrow导管。结果睫毛反射消失的时间为58.3±12.1秒左右,针刺反应消失时间为125±13秒,手术时间12±2分钟,术毕停药后病人完全清醒的时间为8.1±3,3分钟。血流动力学稳定,无心率减慢、血压下降者。结论七氟烷用于儿童短小手术,诱导极为平稳和快速,气道刺激小,心血管抑制轻,苏醒迅速,安全可控。
Objective To observe the safety and efficacy of sevollurane on the the application of deep vein catheterization in childhood patients. Methods Forty children patients with acute lymphocytic leukemia were operated under anaesthesia with sevollurane. All the patients inhaled 100% oxygen （1L/min） and sevollurane by mask, and escalated the concentration of sevoflurane （to the maximum concentration 5% or 6%） until the lash reflex disappeared, and the maintenance concentration was controlled between 1-3%. Central vascular catheters offered by arrow company were implanted in subclavian vein. Results The time of abolition of lash reflex was 58.3±12.1 seconds. The time of pain reflex was 125±13 seconds. The time of operation was 12±2 minutes. With stable hemedynamics, 1%-3.0% maintenance concentration of sevoflurane during the operation showed effective anaesthesia, no decreased heart rate or blood pressure appeared. Conclusion Sevoflurane for children induction can bring fewer stimuli in the respiratory tract, less cardiac vascular inhibition and palinesthesia time. Anaesthesia in children induced by sevoflurane is safe and effective.
出处
《海南医学》
CAS
2008年第8期41-42,共2页
Hainan Medical Journal
关键词
七氟烷
吸入麻醉
深静脉置管
小儿
Sevollurane
Inhalational anesthesia
Deep vein catheterization
Children
