摘要
目的:探讨腰-硬联合麻醉方法应用于小儿腹腔镜阑尾切除术的可行性.方法:观察54例应用腰-硬联合麻醉实施小儿腹腔镜阑尾切除术(ASAⅠ～Ⅱ)的麻醉效果、平均动脉压(MAP)、心率(HR)及脉搏氧饱和度(SpO2)的变化.结果:全部患儿均顺利完成手术,患儿的MAP、HR和SpO2均在正常范围.结论:腰-硬联合麻醉用于小儿腹腔镜阑尾切除术效果确切、安全、损伤较小且经济实用.
Objective： To study the effect of spinal and epidural anesthesia during laparoscopic appendectomy of children. Methods：54 patients（ ASA Ⅰ -Ⅱ ）accepted laparoscopic appendectomy, Combination of spinal and epidural anesthesia was adopted with midazolam and ketamine,0.5% bupivacaine（0.3mg/kg） injected into subarachnoid space. The anesthesia effect and the respiratinu and circulatinn function were observed. Results：All the patients were performed the operations smoothly. The level of MAP, HR and SpO2 was normal during the surgery. Conclusions：Combination of spinal and epidural anesthesia in laparoseopy in children is noted for fine anesthetic： effect ,safety,little injury and economy.
出处
《腹腔镜外科杂志》
2005年第4期208-209,共2页
Journal of Laparoscopic Surgery
关键词
麻醉
脊椎
麻醉
硬膜外
麻醉药联用
儿童
腹腔镜
阑尾切除术
Anesthesia, spinal
Anesthesia, epidnral
Anesthetics, combined
Child
Laparoscopy
Appendectomy
