腰-硬联合麻醉用于小儿腹腔镜阑尾切除术的临床研究
腰-硬,,麻醉，脊椎；麻醉，硬膜外；麻醉药联用；儿童；腹腔镜；阑尾切除术,1资料与方法,2结果,3讨论,参考文献：
【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。【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
Spinal and epidural anesthesia during laparoscopic appendectomy in children
LI Shengde,YIN Yuqing,JING Wei,et al. Tai，an Central Hospital,Tai，an 271000,China
【Abstract】Objective:To study the effect of spinal and epidural anesthesia during laparoscopic appendectomy of children.Methods:54 patients(ASA ⅠⅡ)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 respiration and circulation 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 laparoscopy in children is noted for fine anesthetic effect,safety,little injury and economy. ......
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