新生儿先天性食道闭锁手术的麻醉

目的探讨新生儿先天性食道闭锁手术的麻醉处理。方法收集25例先天性食道闭锁Ⅲ型矫治手术患儿的临床麻醉资料。术前采取抗感染、保暖及补液等措施，手术采用气管内插管静脉复合全麻，并全程监测心率、Sp02、PETC02、体温等指标。结果术中患儿无一例死亡。麻醉后所有患儿均出现一过性心率减少，体温下降，21例出现短暂的Sp02下降和PETC02升高，与麻醉前比较差异均有统计学意义（P〈0．05）。结论术前积极改善全身状况．能提高患儿对手不和麻醉的耐受性。麻醉方法选择气管内插管静脉复合全麻，加强监测，确保呼吸、循环平稳，可提高麻醉的满意度。

Anesthetic Considerations for Congenital Esophageal Atresia Repair in Neonates

Objective To evaluate the anesthetic management for congenital esophageal atresia repair. Methods Anesthesia records of 25 neonates undergoing congenital esophageal atresia repair had been reviewed. The managements including anti-infection, keeping body warm and fluid replacement had been taken before operation. All patients underwent general anesthesia with tracheal intubation in this series. The vital signs including heart rate, SpO2, PETCO2 and body temperature at various time points during anesthesia were analyzed. Results All neonates were adequately ventilated and no neonate died during operation. During the anesthesia induction, the heart rates were descending temporarily and the body temperature decreased temporarily in all cases. The temporary decrease of SpO2 and increase of PETCO2 were also occurred during operation in 21 cases. There were significant differences before and after anesthesia （ P 〈 0.05 ）. Conclusion The patients＇ general conditions should be improved before operation in order to elevate the toleration for operation and anesthesia. The general intravenous anesthesia with tracheal intubation can be easily maintained for neonates underwent esophageal atresia repair.The keys to anesthetic management are sufficient preparing, strict monitoring and rigorous respiration- circulation management.