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局部麻醉在高危婴儿的应用避免了通常气管插管麻醉的并发症。作者在21例清醒婴儿施行了骶管阻滞麻醉,其中10例体重为2.0～2.6kg。作者的经验提示,按小婴儿(2.0～2.6kg)骶管阻滞剂量给大婴儿及儿童可能导致麻醉阻滞平面较低,常不能满足手术要求。本文报告在二组小婴儿施行骶管阻滞麻醉,为达到能满足下腹部手术要求阻滞平面所需要的布比卡因剂量(ml/kg)。
The use of local anesthesia in high-risk infants avoids the complications of the usual endotracheal intubation anesthesia. The authors performed caudal block anesthesia in 21 conscious infants, 10 of whom had a body weight of 2.0 to 2.6 kg. The author’s experience suggests that babies (2.0 ~ 2.6kg) caudal block dose to large babies and children may lead to narcotic block lower, often can not meet the surgical requirements. This article reports caudal block anesthesia in two groups of infants, in order to achieve the bupivacaine dose (ml / kg) required to meet the blockal plane required for lower abdominal surgery.