CAJ | 학술논문

目的：评估快通道麻醉在低龄小儿心脏手术中的可行性。方法回顾2009年1月-2013年10月70例采用快通道麻醉先心病低龄（﹤5岁）患儿资料，分析总结其一般情况、麻醉方法、围术期血流动力学变化、拔管时间、拔管后0.5h 血气分析，术后疼痛评分、转归。结果所有患儿术中血流动力学稳定，术后拔管时间均﹤6h，拔管后0.5h 血气分析结果基本正常，术后疼痛评分﹤3.1，无1例需2次插管，无1例出现肺部并发症，术后无死亡病列，所有患儿均顺利康复出院。结论以小剂量舒芬太尼联合七氟醚行低龄小儿先心快通道麻醉能提供稳定的血流动力学，气管拔管时间短，镇痛充分，该麻醉模式安全有效，值得临床推广应用。
목적：평고쾌통도마취재저령소인심장수술중적가행성。방법회고2009년1월-2013년10월70례채용쾌통도마취선심병저령（﹤5세）환인자료，분석총결기일반정황、마취방법、위술기혈류동역학변화、발관시간、발관후0.5h 혈기분석，술후동통평분、전귀。결과소유환인술중혈류동역학은정，술후발관시간균﹤6h，발관후0.5h 혈기분석결과기본정상，술후동통평분﹤3.1，무1례수2차삽관，무1례출현폐부병발증，술후무사망병렬，소유환인균순리강복출원。결론이소제량서분태니연합칠불미행저령소인선심쾌통도마취능제공은정적혈류동역학，기관발관시간단，진통충분，해마취모식안전유효，치득림상추엄응용。
Objective To evaluate the feasibility of fast track anesthesia for congenital heart surgery of young chil-dren. Methods From January 2009 to 0ctober 2013,70 young children with congenital heart disease undergoing cardiac sur-gery accepted the fast track anaesthesia induced with midazolam,sufentanil,etomidate,rocuronium. The general characteristics, anesthetic method,perioperative hemodynamic,postoperative extubation time,bood gas analysis 0. 5h after extubation,postoper-ative VAS and recovery were retrospectively analyzed. Results Perioperative haemodynamics of children was stable;postoper-ative extubation time was within 1 - 6 hours;blood gas analysis outcomes was normal in 0. 5h after extubation;the VAS score was lower than 3. 1;no one needed reintubation;no children had pulmonary complications,all children successfully discharged. Conclusion Fast track anesthesia for congenital heart surgery of young children based on low-dose sufentanil combined with sevoflurane was feasible due to stable haemodynamics,with shorter extubation timen and effective analgesia,which is worthy of clinical application.