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我院自1985年10月至1993年9月,在小儿腹部以下手术应用高位骶管麻醉688例,现报告如下。 本组688例中,男583例,女105例,年龄出生后5h～12岁,平均2.8岁,手术时间25～240min。 本组麻醉效果满意者647例(94％),效果差35例,失败6例。全组中危重病儿217例(31.5％),急诊行腹部手术,术前高热、脱水、酸中毒、电解质紊乱、周围循环衰竭甚至休克,我们采取降温、纠正水、电解质、酸碱平衡、抗休克等综合措施的基础上应用高位骶管麻醉。
Our hospital from October 1985 to September 1993, in pediatric abdomen surgery 688 cases of high caudal anesthesia, are as follows. The group of 688 cases, 583 male and female 105 cases, aged 5h to 12 years after birth, with an average of 2.8 years old, operation time 25 ~ 240min. 647 patients (94%) satisfied with the anesthesia in this group, the effect of poor in 35 cases, failure in 6 cases. 217 cases (31.5%) of the critically ill children underwent emergency operation under abdominal surgery, preoperative hyperthermia, dehydration, acidosis, electrolyte imbalance, peripheral circulatory failure and even shock. We took cooling, correcting electrolytes, acid-base balance, Shock and other comprehensive measures based on the application of high caudal anesthesia.