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目的:探讨七氟醚吸入麻醉在小儿手术中的应用。方法:采用七氟醚吸入麻醉,密切观察患儿心率、呼吸、血氧饱和度,术中以低流量的氧气(2L/min)和低浓度的七氟醚(1%-3%)吸入维持麻醉。期间泵注瑞芬太尼15ug/(kg·h)镇痛、间断给阿曲库铵0.3-0.5mg/kg静脉推注以松弛肌肉。结果:睫毛反射消失时间快、手术时间和苏醒时间短,所有小儿术中术后无体动、痉挛,无恶心、呕吐,生命征平稳,麻醉效果满意。结论:七氟醚吸入麻醉用于小儿手术是安全、有效的。
Objective: To investigate the application of sevoflurane inhalation anesthesia in pediatric surgery. Methods: The anesthesia was induced by sevoflurane. The heart rate, respiration and oxygen saturation of children were observed closely. Intraoperative oxygen (2L / min) and low concentration of sevoflurane (1% -3%) were inhaled anesthesia. During the injection of remifentanil 15ug / (kg · h) analgesia, intermittent to atracurium 0.3-0.5mg / kg intravenous injection to relax the muscles. Result: The eyelash reflex disappeared fast, the operation time and wake-up time were short. All children had no body movement, spasm, no nausea, vomiting and stable vital signs after operation. The anesthetic effect was satisfactory. Conclusion: Sevoflurane inhalation anesthesia is safe and effective for pediatric surgery.