全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用：99美元
投递稿件

查看量下载量

相关文章

更多...

右美托咪定预防小儿全麻后喉痉挛的临床观察

, PP. 1370-1371

Keywords: 右美托咪定,小儿全麻,喉痉挛

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的观察右美托咪定对小儿全麻后喉痉挛的预防作用。方法行头颈部手术患儿47例,其中22例麻醉前肌注右美托咪定3~4μg？kg-1(实验组),25例麻醉前肌注氯胺酮5mg？kg-1(对照组),送入手术室后以七氟醚、芬太尼、顺式阿曲库铵诱导麻醉,术中以七氟醚和瑞芬太尼维持。比较两组术毕拔管后喉痉挛发生情况。结果拔管后组喉痉挛发生率实验组为22.7%,低于对照为76%(P=0.042),实验组喉痉挛严重程度较对照组轻。结论右美托咪定可以减少小儿全麻后喉痉挛的发生率。

 References

[1]  Flick RP, Wilder RT. Risk factors for laryngospasm in children during general anesthesia [J]. Paediatric Anaesthesia, 2008, 18(4):289-296.
[2]  Burgoyne LL,Anghelescu DL. Intervention steps for treating laryngospasm in pediatric patients [J]. Paediatr Anaesth,2008,18(4):297-302.
[3]  Darlong V1, Khanna P, Baidya DK, et al. Perioperative complications of cochlear implant surgery in children[J].J Anesth. 2014,2(6):[Epub ahead of print].
[4]  Chai J, Wu XY, Han N, et al. A retrospective study of anesthesia during rigid bronchoscopy for airway foreign body removal in children: propofol and sevoflurane with spontaneous ventilation[J]. Paediatr Anaesth, 2014, 22(8). doi: 10.1111/pan.12509. [Epub ahead of print]
[5]  陈新荣,郭锐,邓秋云,等 深麻醉下拔管在小儿扁桃体手术麻醉中的可行性研[J].赣南医学院学报 2013, 33(2):209-210.
[6]  Von Ungern-Sternberg, Davies K,Hegarty M, et al. The effect of deep vs. awake extubation on respiratory complications in high-risk children undergoing adenotonsillectomy: a randomised controlled trial[J]. Eur J Anaesthesiol,2013,30(9):529-536.
[7]  Miller著,邓小明,曾因明译. 米勒麻醉学[M]. 7版. 北京:北京大学医学出版社,2011: 2378.
[8]  Mason KP1, Lubisch NB, Robinson F,et al. Intramuscular dexmedetomidine sedation for pediatric MRI and CT[J].Am J Roentgenol. 2011,197(3):720-725.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133