介入放射学杂志
介入放射學雜誌
개입방사학잡지
JOURNAL OF INTERVENTIONAL RADIOLOGY
2009年
12期
908-910
,共3页
骶管阻滞%麻醉%介入治疗%小儿
骶管阻滯%痳醉%介入治療%小兒
저관조체%마취%개입치료%소인
sacral block anesthesia%interventional therapy%child
目的 探讨骶管阻滞术应用于小儿介入放射治疗的麻醉管理及可行性.方法 将80例患儿随机分为两组,每组各40例:Ⅰ组骶管阻滞给予 0.8%利多卡因、0.2%罗哌卡因混合液0.8 ml/kg,术中给予丙泊酚3～5 mg·kg~(-1)·h~(-1)维持;Ⅱ组麻醉维持用丙泊酚6-10 mg·kg~(-1)·h~(-1).结果 两组患儿介入治疗均顺利完成.术中Ⅰ组3例患儿麻醉阻滞下面达到T8,收缩压下降超过15%,调整丙泊酚用量,补液处理后血压逐步回升.2例患儿需要术中追加氯胺酮.Ⅱ组病例中有8例在术中SpO_2降至90%以下,辅助通气并调整麻醉用药后,SpO_2升至98%.12例患儿出现心率显著减慢.调整丙泊酚剂量后心率逐步恢复.4例患儿需要术中追加氯胺酮.结论 骶管阻滞复合静脉麻醉是安全有效的小儿介入治疗麻醉管理方案之一.
目的 探討骶管阻滯術應用于小兒介入放射治療的痳醉管理及可行性.方法 將80例患兒隨機分為兩組,每組各40例:Ⅰ組骶管阻滯給予 0.8%利多卡因、0.2%囉哌卡因混閤液0.8 ml/kg,術中給予丙泊酚3～5 mg·kg~(-1)·h~(-1)維持;Ⅱ組痳醉維持用丙泊酚6-10 mg·kg~(-1)·h~(-1).結果 兩組患兒介入治療均順利完成.術中Ⅰ組3例患兒痳醉阻滯下麵達到T8,收縮壓下降超過15%,調整丙泊酚用量,補液處理後血壓逐步迴升.2例患兒需要術中追加氯胺酮.Ⅱ組病例中有8例在術中SpO_2降至90%以下,輔助通氣併調整痳醉用藥後,SpO_2升至98%.12例患兒齣現心率顯著減慢.調整丙泊酚劑量後心率逐步恢複.4例患兒需要術中追加氯胺酮.結論 骶管阻滯複閤靜脈痳醉是安全有效的小兒介入治療痳醉管理方案之一.
목적 탐토저관조체술응용우소인개입방사치료적마취관리급가행성.방법 장80례환인수궤분위량조,매조각40례:Ⅰ조저관조체급여 0.8%리다잡인、0.2%라고잡인혼합액0.8 ml/kg,술중급여병박분3～5 mg·kg~(-1)·h~(-1)유지;Ⅱ조마취유지용병박분6-10 mg·kg~(-1)·h~(-1).결과 량조환인개입치료균순리완성.술중Ⅰ조3례환인마취조체하면체도T8,수축압하강초과15%,조정병박분용량,보액처리후혈압축보회승.2례환인수요술중추가록알동.Ⅱ조병례중유8례재술중SpO_2강지90%이하,보조통기병조정마취용약후,SpO_2승지98%.12례환인출현심솔현저감만.조정병박분제량후심솔축보회복.4례환인수요술중추가록알동.결론 저관조체복합정맥마취시안전유효적소인개입치료마취관리방안지일.
Objective To discuss the management and feasibility of sacral block anesthesia in pediatric interventional therapy. Methods A total of 80 pediatric patients were randomly and equally divided into two groups. Patients in group A received sacral block anesthesia together with basic anesthesia with propofol, while patients in group B received intravenous anesthesia with propofol. Small amount of ketamine as maintaining dose was used in both groups when needed. Results The interventional management was successfully completed in all patients. A marked decrease in blood pressure occurred in three patients of group A receiving sacral block anesthesia. In group B receiving intravenous anesthesia, a decrease, of SpO_2 to below 90 percent was seen in 8 cases, and obvious bradycardia developed in 12 cases. All these patients were treated with intravenous medication or by reducing the dose of propnfol. Additional small dose of ketamine was needed in 4 patients during the procedure. Conclusion Sacral block anesthesia combined with intravenous anesthesia is one of the effective anesthesia management schemes for pediatric interventional therapy.
