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大面积烧伤小儿清创术的麻醉处理问题较多,术中病情变化快,反应凶险.现将我院1992—1998年对此类患儿选用气管内静吸复合全麻100例分析如下.1 临床资料本组男62例,女38例,年龄1.5～7岁,体重10～25kg.烧伤程度Ⅱ°～Ⅲ°,烧伤面积30%～65%.合并头、面、颈部烧伤25例,肺炎3例.2 麻醉处理2.1 术前准备 此类患儿术前常伴有严重的全身反应及并发症,如低血容量、低蛋白血症等.我们通过尿量、血气等监测初步评估,并小量多次输血扩容和输注浓缩白蛋白维持HCT
Large area burn pediatric debridement of anesthesia more problems, intraoperative changes rapidly, the reaction dangerous. Now in our hospital 1992-1998 for such children with tracheal inhalation combined with general anesthesia in 100 cases as follows.1 Clinical data The group of 62 males and 38 females, aged 1.5 to 7 years old, body weight 10 ~ 25kg. Burn degree Ⅱ ° ~ Ⅲ °, burns area 30% ~ 65% .Combined with head, face and neck burns in 25 cases, 3 cases of pneumonia .2 anesthesia 2.1 Preoperative preparation Such preoperative children are often accompanied by severe systemic reactions and complications such as hypovolemia, hypoalbuminemia, etc. We through urine volume, blood gas and other monitoring of the initial assessment, And a small amount of multiple transfusion blood volume expansion and infusion of concentrated albumin to maintain HCT