CAJ | 학술논문

目的探讨小儿先天性心脏病(先心病)介入治疗的麻醉处理以指导临床.方法收集1988年至2009年1192例小儿先心病介入麻醉的病历资料.所有患儿入室后监测心电图、呼吸、血压、脉搏血氧饱和度.麻醉方法为肌肉注射氯胺酮(3～4)mg/kg,总结麻醉处理特点.结果患儿均顺利完成手术,手术时间(124±82)min.术中氯胺酮总量为(3.62±1.18)mg/(kg·h),麻醉平稳,血流动力学稳定,无一例发生麻醉意外.结论充分的术前准备和密切的呼吸循环监测及合理使用麻醉药物是小儿先心病介入治疗麻醉成功的重要保证.
목적 탐토소인선천성심장병(선심병)개입치료적마취처리이지도림상.방법 수집1988년지2009년1192례소인선심병개입마취적병력자료.소유환인입실후감측심전도、호흡、혈압、맥박혈양포화도.마취방법위기육주사록알동(3～4)mg/kg,총결마취처리특점.결과 환인균순리완성수술,수술시간(124±82)min.술중록알동총량위(3.62±1.18)mg/(kg·h),마취평은,혈류동역학은정,무일례발생마취의외.결론 충분적술전준비화밀절적호흡순배감측급합리사용마취약물시소인선심병개입치료마취성공적중요보증.
Objective To investigate the anesthesia methods for interventional surgery in children with congenital heart diseases. Methods From 1988 to 2009,1192 patients with congenital heart diseases were treated with interventional surgery. In these procedures, monitored electrocardiogram(ECG), respiratory rate (RR), mean artery pressure (MAP) and percutaneous oxygen saturation ( SpO2 ). Ketamine of 3 ～ 4 mg/kg was used via muscle injection. Results Anesthesia was done successfully in all 1192 cases. The operation duration was (124 ± 82)min and the total dose of Ketamine was ( 3.62 ± 1.18 ) mg/( kg · h). There were no anesthesia related complications.Conclusion Sufficient preoperative preparation, proper application of anesthetic drug and vital signs monitoring are critical for interventional surgery.