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氯胺酮已作为一种代替硫贲妥钠的全身麻醉剂用于剖腹产术的全身麻醉诱导。本文报道剖腹产术中产妇苏醒的发生率、新生儿Apgar评分、脐静脉血气分析以及上述结果与I-D(诱导至娩出)和U-D(子宫切开至娩出)间期的相互关系。 20例足月妊娠行选择性剖腹产术病人,术前均肌注胃长宁0.2mg,而后静脉注射氯胺酮1.5mg/ kg和司可林1.5mg/kg,使病人进入麻醉诱导状态行气管内插管,用纯氧为产妇进行肺通气直至胎儿娩出。娩出后改用2∶1笑气氧气混合气体维持麻醉并辅加芬太尼2μg/kg。司可林作用消失后用alcuronium0.25mg/kg维持肌肉松弛。手术终末用新斯的明0.05mg/kg和阿托品0.02mg/kg混合剂
Ketamine has been used as a general anesthetic instead of thiopental for systemic induction of caesarean section. This article reports on the incidence of maternal awakening during cesarean section, neonatal Apgar score, umbilical vein blood gas analysis and the correlation between these results and I-D (induction to delivery) and U-D (hysterectomy to delivery) intervals. Twenty patients with full-term pregnancy undergoing selective caesarean section were treated with Chang-Ning 0.2mg intramuscularly and then injected with 1.5mg / kg ketamine 1.5mg / kg intravenously and the patients were intubated into anesthesia-induced endotracheal intubation , With pure oxygen for maternal lung ventilation until the baby was delivered. After delivery, use 2: 1 nitrous oxide gas mixture to maintain anesthesia and supplemented with fentanyl 2μg / kg. After the disappearance of acticin with alcuronium0.25mg / kg to maintain muscle relaxation. Neostigmine 0.05 mg / kg and atropine 0.02 mg / kg were used as the final surgeries