CAJ | 학술논문

本文采用氯胺酮200mg,安定20mg,普鲁卡因4 g加10%葡萄糖液200ml的复合液,用于3天～14岁小儿手术1,000例.静滴速率10～25滴/分,麻醉过浅可追加少量的硫喷妥钠或安定静注.术毕5～15分钟清醒.作者认为该麻醉能充分发挥三者的协同作用;减轻副反应;具有速效、短效、强镇静、容易调节、保持自主呼吸的优点,且大多数勿需常规气管内插管.是较好的小儿全麻方法之一.
본문채용록알동200mg,안정20mg,보로잡인4 g가10%포도당액200ml적복합액,용우3천～14세소인수술1,000례.정적속솔10～25적/분,마취과천가추가소량적류분타납혹안정정주.술필5～15분종청성.작자인위해마취능충분발휘삼자적협동작용;감경부반응;구유속효、단효、강진정、용역조절、보지자주호흡적우점,차대다수물수상규기관내삽관.시교호적소인전마방법지일.
A compound solution of KDP(Ketamine200 mg,Diazepam 20 mg and procaine 4 mg in 200 ml of 10% glucose)was used in a continuous total intravenous anaesthesia in pediatric surgery on 1000 patients aged from 3 days to 14 yrs.For induction,2.5% Pentothal im.was given in 122 cases,1.25% Pentothal iv.was given in 627 cases,and KD iv.in 156 cases.In the 85 cases where endotracheal intubation was needed,KD iv.was also used.KDP at a speed of 10-25 drops/min.may provide a moderate anaesthesia sufficient to allow surgical procedures.Sometimes an additional dose of pentothal was needed.Patient usually regained consciousness 5-15 minutes postoperatively.The main side-effect was mild respiratory inhibition(observed in 8 cases),which got improved after rapid oxygen inhalation.The authors hold that this method can bring the coordination of KDP into full play.less sideeffects,wand fast shorter action.It has the benefits of steady pulse rate and blood pressure,as well as a mild degree of muscular relaxation.In addition,it is effective in analgesia and easy to adjust,and can keep spontaneous respiration,making endotracheal intubation unnecessary in most cases.Full understanding of the pharmalogical action of these anesthetics and close observation of the patient may avoid respiratory inhibition.Rapid recovery of consciousness renders nursing easier.Therefore,this method is considered one of the ideal general anaesthesia technigues in pedixatric surgery.