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本文总结了５７８例患儿在静脉诱导吸入麻醉方法下进行斜视矫正手术的临床观察处理及结果，年龄选择１～１４岁，手术时间０．５～３．５ｈ，ＡＳＡ分级Ⅰ～ⅡＤ级，术前３０ｍｉｎ肌注术前药，麻醉诱导用２．５％硫贲妥钠５～７．５ｍｇ／ｋｇ及卡肌宁０．５～０．６ｍｇ／ｋｇ静脉注射后行气管插管，术中以６０％Ｎ２Ｏ，４０％Ｏ２，，０．６～ｌ％安氟醚维持麻醉，调节潮气量（１０～１５ｍｌ／ｋｇ）和呼吸频率（１５～２０次／ｍｉｎ），维持ＰＥＴＣＯ２４．５～５．５ｋＰａ，术中血压与麻醉前比较无显著差异，但术中眼心反射的防治仍需进一步去探讨。用此麻醉方法易掌握麻醉深度，术后苏醒快且合并症少，是目前小儿斜视手术较为理想的麻醉方法。
This article summarizes the 578 cases of children treated with intravenous inhalation anesthesia for strabismus surgery clinical observation and treatment results, the age of 1 to 14 years old, the operation time 0.5 ~ 3.5h, ASA classification Ⅰ ~ Ⅱ D level, 30min prior to intramuscular injection of prodrugs, anesthesia induction with 2.5% thiopental sodium 5 ~ 7.5mg / kg and cardiomycin 0.5 ~ 0.6mg / kg after intravenous intubation, intraoperative 60% N2O, 40% O2, and 0.6 ~ 1% enflurane to maintain anesthesia, adjusting tidal volume (10-15ml / kg) and respiratory rate (15-20 times / min). 5kPa, intraoperative blood pressure compared with before anesthesia no significant difference, but intraoperative ocular reflex control still need to be further explored. With this method of anesthesia to grasp the depth of anesthesia, rapid recovery and less complications after surgery, pediatric strabismus surgery is the ideal method of anesthesia.