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本院对小儿先天性唇裂采用气管内麻醉加双侧眶下神经阻滞行唇裂修补术共152例,小结如下。 本组152例,男98例,女54例,年龄4个月～6岁,手术时间40～150min,术前检查无心肺疾病。麻醉前1/2h肌注安定0.2mg·kg~(-1)、阿托品0.015mg·kg~(-1)。入室后肌注氯胺酮5mg·kg~(-1),入睡后缓慢静注咪唑安定0.3mg·kg~(-1)、>15kg的患儿静脉追加氯胺酮2mg·kg~(-1)。琥珀胆碱用量婴儿2mg·kg~(-1)、小儿1mg·kg~(-1)静注。气管插管控制通气,并行双侧眶下神经阻滞(用0.8％利多卡因+0.1％地卡因混合液,每侧2.0ml),术中麻醉维持用1％普鲁卡因+0.1％琥珀胆碱复合液静脉滴注。婴儿14滴/min(32mg·kg~(-1)/h)、小儿20滴/min(50mg·kg~(-1)/h),均采用循环紧闭式控制呼吸,全组术后苏醒时间为15～30min,气管导管拔除时间平均术毕15min左右。全组病例常规测血压、
Hospital of pediatric congenital cleft lip tracheal anesthesia plus bilateral infraorbital nerve block repair lip repair a total of 152 cases, summarized as follows. The group of 152 patients, 98 males and 54 females, aged 4 months to 6 years old, operation time 40 ~ 150min, no heart and lung disease preoperative examination. Anesthesia before 1 / 2h intramuscular injection of diazepam 0.2mg · kg -1, atropine 0.015mg · kg -1. Ketamine (5 mg · kg -1) was injected intramuscularly. After sleeping, the patients were given intravenous ketamine 2 mg · kg -1 intravenously at a dose of 0.3 mg · kg -1. The dosage of succinylcholine was 2mg · kg -1 in infants and 1mg · kg -1 in infants. Tracheal intubation controlled ventilation, parallel bilateral infraorbital nerve block (with 0.8% lidocaine + 0.1% dexamethasine mixture, 2.0ml each side), intraoperative anesthesia with 1% procaine + 0.1% Succinylcholine compound intravenous drip. Infants 14 and 32 mg · kg ~ (-1) / h and 20 mg / kg (50 mg · kg -1 / h), respectively. Time is 15 ~ 30min, tracheal catheter removal time average 15min or so. All patients routine measurement of blood pressure,