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目的探索小儿腹腔镜手术的麻醉方法及管理。方法气管插管全身麻醉,术中连续监测ECG、HR、MAP、SpO2、PETCO2。观察其在CO2气腹前后的变化。结果术中气腹前后ECG、HR、MAP、SpO2无显著变化(P>0.05),PETCO2显著升高(P<0.01),所有患儿均未出现严重并发症。结论CO2气腹对小儿生理功能有一定干扰。麻醉处理有一定难度,但只要做好充分术前准备,选择合适的麻醉方法,合理用药,加强呼吸循环功能监测,就能使小儿腹腔镜手术的麻醉顺利完成。
Objective To explore the method and management of pediatric laparoscopic surgery. Methods Tracheal intubation general anesthesia, intraoperative continuous monitoring of ECG, HR, MAP, SpO2, PETCO2. Observe before and after CO2 pneumoperitoneum changes. Results There were no significant changes in ECG, HR, MAP and SpO2 before and after Pneumoperitoneum (P> 0.05) and PETCO2 (P <0.01). No serious complications occurred in all children. Conclusion CO2 pneumoperitoneum has a certain disturbance on children’s physiological function. Anesthesia has a certain degree of difficulty, but as long as adequate preoperative preparation, choose the appropriate method of anesthesia, rational use of drugs, and strengthen the monitoring of respiratory function, can make the laparoscopic operation of pediatric anesthesia successfully completed.