全麻复合连续臂丛与单纯全麻在小儿断指再植的观察
1资料与方法,2结果,3讨论,参考文献
【摘要】 目的 比较全麻复合连续臂丛与单纯全麻在小儿麻醉中的应用。方法 41例小儿断指再植用全麻加连续臂丛(A组,n=22)或全身麻醉法(B组,n=19),比较麻醉苏醒时间,麻醉期间循环、呼吸变化,术中及术后并发症或副作用。结果 A组氯胺酮量明显少于B组,麻醉时间与B组相似,呼吸抑制少于B组,苏醒时间明显短于B组(P<0.05),麻醉期血压、心率明显低于B组(P<0.05),术后恶心呕吐、烦躁、精神副作用等并发症低于B组(P<0.01),麻醉效果优于B组。结论 两种方法均能满足手术的要求,全麻加连续臂丛镇静镇痛更完善,并发症更少,优于单纯全身麻醉。Gui Junyun,Gu Miaoning,Chen Dayan
Department of Anesthesiology,Nanhai Hospital of Traditional Chinese Medicine,Foshan528200.
【Abstract】 Objective To evaluate the efficacy of two kinds of anesthesia(brachial plexus block combined anesthesia,group A and general anesthesia,group B)for replantation of amputated finger in children.Methods 41patients of emergency for replanlation of amputated finger in children.ASA status:I and II,age ranged from2-14years and body weight9-36kg.After general anesthesia we give the patients continuous brachial plexus block,if there is indication for it ......
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