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我院自1989～1992年,曾遇5例狭颅症患儿行颅缝再造术。因本病有其独特的病理变化,为总结经验,浅谈几点体会。 临床资料:本文5例中,男3例,女2例,年龄2个月～3岁,以上病例均外形异常,前额部狭小,双额顶部触之成凸出样,囱门已闭,智力可,术前无呕吐、抽搐、头痛等表现,CT示冠状缝早闭40例;人字缝早闭1例。 麻醉经过;入室前30分钟,阿托品0.02mg/kg,氯胺酮5mg/kg,肌注入睡后进手术室。诱导,依次静脉注
Our hospital from 1989 to 1992, had met 5 cases of stenosis in children with craniosynostosis. Because of the disease has its unique pathological changes, to sum up experience, talk about a few experiences. Clinical data: In this article 5 cases, 3 males and 2 females, age 2 months to 3 years old, the above cases were abnormal shape, the forehead miniscule, double top of the touch into a convex sample, the Himen closed, intelligence Yes, preoperative no vomiting, convulsions, headache and other performance, CT showed coronary occlusion in 40 cases of premature closure; Anesthesia after; 30 minutes before entering the room, atropine 0.02mg / kg, ketamine 5mg / kg, intramuscular injection into the operating room after sleep. Induction, followed by intravenous injection