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本文报道1990年5月至1996年5月施行的93例婴儿先天性心脏病手术的麻醉处理。患儿平均月龄8.66±3.42个月,平均体重7.52±1.97公斤。麻醉诱导主要采用氯胺酮760±2.60mg/Kg肌注,静注芬太尼13.59±6.00μg/Kg,潘库溴铵0.17±0.07mg/Kg后行气管内插管。麻醉维持则采用大剂量芬太尼(41.17±16.90μ/Kg)为主的静脉复合麻醉,收到了较理想的效果。
This article reports the anesthetic management of 93 infants with congenital heart disease performed from May 1990 to May 1996. Children with an average age of 8.66 ± 3.42 months, the average body weight 7.52 ± 1.97 kg. Induction of anesthesia using ketamine 760 ± 2.60mg / Kg intramuscular injection of intravenous fentanyl 13.59 ± 6.00μg / Kg, Pancuronium 0.17 ± 0.07mg / Kg tracheal intubation. Anesthesia was maintained using high-dose fentanyl (41.17 ± 16.90μ / Kg) -based intravenous anesthesia, received a more satisfactory results.