论文部分内容阅读
目的:研究七氟醚麻醉应用于小儿烧伤后行中心静脉穿刺置管术的安全性和可行性。方法:急诊烧伤患儿90例,随机分为七氟醚组(A组)和氯胺酮组(B组)、对照组(C组)各30例。观察行中心静脉穿刺置管术中患儿体动和穿刺顺利情况,观察并记录术后苏醒时间,术后躁动、恶心呕吐及呼吸系统意外事件发生等。结果:A组麻醉平稳,诱导迅速,术后苏醒迅速;B组反应轻,术后苏醒时间长,分泌物多恶心呕吐及呼吸系统并发症发生例数明显增加;C组反应大,小儿体动严重,甚至无法行中心静脉穿刺置管。结论:在严密的监护下,实施七氟醚吸入麻醉下行中心静脉穿刺置管术是安全、可行的。
Objective: To study the safety and feasibility of sevoflurane anesthesia for central venous catheterization after pediatric burn. Methods: Ninety children with emergency burn were randomly divided into sevoflurane group (A group) and ketamine group (B group), and control group (C group), 30 cases each. Observed the central venous catheterization in children with physical movement and puncture the smooth situation, observe and record postoperative recovery time, postoperative agitation, nausea and vomiting and respiratory accidents and so on. Results: In group A, the anesthesia was stable, the induction was rapid and the postoperative recovery was rapid. The reaction of group B was light, the time of postoperative recovery was longer, the nausea and vomiting secretions and respiratory complications were significantly increased. In group C, Serious, or even impossible to central venous catheterization. Conclusion: It is safe and feasible to perform central venous catheterization under anesthesia with sevoflurane inhalation anesthesia.