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为了提高小儿上肢手术麻醉效果及安全性,我们对氯胺酮全麻下小儿上肢手术病例进行了回顾性总结,其并发症多,苏醒时间长,为此对其麻醉方法进行改进,采用硫喷妥钠基础加一针法颈、臂丛神经阻滞,收到了满意效果,报告如下。 一般资料 组1(全麻组)男38例,女12例;1～7岁26例,7岁1个月～12岁24例;肘以上手术40例,肘以下手术10例。麻醉组合:氯胺酮6例,加羟丁酸钠30例,加安定10例,加氯丙嗪4例。组2(神经阻滞组)男42例,女8例;1～7岁30例,7岁1个月～12岁20例;肘以上手术36例,肘以下手术14例,加基础麻醉者20例。
In order to improve anesthesia and safety of pediatric upper limb surgery, we retrospectively reviewed the cases of upper limb surgery in children under general anesthesia with ketamine. The complications were long and the recovery time was long. Therefore, the anesthetic method was improved. Thiopental Fundamentals plus a method of cervical, brachial plexus block, received a satisfactory effect, the report is as follows. General Information Group 1 (general anesthesia group) 38 males and 12 females; 1 to 7 years old in 26 cases, 7 years 1 month to 12 years old in 24 cases; elbow surgery in 40 cases, elbow surgery in 10 cases. Anesthesia combination: ketamine in 6 cases, sodium oxybate 30 cases, plus 10 cases of stability, plus chlorpromazine 4 cases. Group 2 (nerve block group) 42 males and 8 females; 1 to 7 years old in 30 cases, 7 months 1 months to 12 years old in 20 cases; 36 cases above the elbow surgery, surgery below the elbow in 14 cases, plus basic anesthesia 20 cases.