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吗啡麻醉已成为心内直视手术普遍使用的麻醉方法,但吗啡的排泄问题尚需进一步研究。本文报道20名患儿用1～4毫克/公斤吗啡麻醉进行房间隔缺损(ASD)或法鲁氏四联症(TF)根治术时,麻醉前、诱导后、整个手术过程中及术后2小时尿中吗啡和吗啡葡萄糖醛酸结合产物的含量及其意义。其中ASD患儿11例,吗啡平均用量为3.4±0.9毫克/公斤。TF患儿9例,吗啡平均用量为2.9+0.8毫克/公斤。本组术中或术后均未用吗啡对抗药。结果表明,在诱导和手术过程中ASD患儿的平均排尿速度>TF患儿(p<0.01)。在回苏醒室和入室2小时后,ASD患儿吗啡排泄的百分
Morphine anesthesia has become a commonly used method of anesthesia in open heart surgery, but morphine excretion needs further study. This article reports 20 children with morphine anesthesia 1 to 4 mg for atrial septal defect (ASD) or Faruq’s quadruple disease (TF) radical surgery before anesthesia, after induction, throughout the operation and after surgery 2 The content and significance of morphine and glucuronic acid binding products in urinary hour urine. Eleven children with ASD and morphine averaged 3.4 ± 0.9 mg / kg. 9 cases of TF children, morphine average dosage of 2.9 +0.8 mg / kg. Morphine was not used in this group during or after surgery. The results showed that children with ASD had an average urination rate> TF in children during induction and surgery (p <0.01). After returning to the awakening room and 2 hours after entering the room, ASD children with morphine excretion percentage