| 腰-硬联合麻醉用于小儿腹腔镜阑尾切除术的临床研究 |
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| 引用本文： | 李胜德,尹玉卿,景卫,魏淑明,杨胜强.腰-硬联合麻醉用于小儿腹腔镜阑尾切除术的临床研究[J].腹腔镜外科杂志,2005,10(4):208-209. |
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| 作者姓名： | 李胜德 尹玉卿 景卫 魏淑明 杨胜强 |
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| 作者单位： | 泰安市中心医院,山东,泰安,271000;泰安市中心医院,山东,泰安,271000;泰安市中心医院,山东,泰安,271000;泰安市中心医院,山东,泰安,271000;泰安市中心医院,山东,泰安,271000 |
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| 摘 要： | 目的:探讨腰-硬联合麻醉方法应用于小儿腹腔镜阑尾切除术的可行性。方法:观察54例应用腰-硬联合麻醉实施小儿腹腔镜阑尾切除术(ASAⅠ~Ⅱ)的麻醉效果、平均动脉压(MAP)、心率(HR)及脉搏氧饱和度(SpO2)的变化。结果:全部患儿均顺利完成手术,患儿的MAP、HR和SpO2均在正常范围。结论:腰-硬联合麻醉用于小儿腹腔镜阑尾切除术效果确切、安全、损伤较小且经济实用。
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| 关 键 词： | 麻醉 脊椎 硬膜外 麻醉药联用 儿童 腹腔镜 阑尾切除术 |
| 文章编号： | 1009-6612（2005）04-0208-02 |
| 收稿时间： | 2004-12-29 |
| 修稿时间： | 2004年12月29 |
Spinal and epidural anesthesia during laparoscopic appendectomy in children |
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| Li ShengDe;Yin YuQing;Jing Wei;Wei ShuMing;Yang ShengJiang.Spinal and epidural anesthesia during laparoscopic appendectomy in children[J].Journal of Laparoscopic Surgery,2005,10(4):208-209. |
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| Authors: | Li ShengDe;Yin YuQing;Jing Wei;Wei ShuMing;Yang ShengJiang |
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| Abstract: | Objective:To study the effect of spinal and epidural anesthesia during laparoscopic appendectomy of children.Methods:54 patients(ASA ⅠⅡ)accepted laparoscopic appendectomy.Combination of spinal and epidural anesthesia was adopted with midazolam and ketamine,0.5%bupivacaine(0.3mg/kg) injected into subarachnoid space.The anesthesia effect and the respiration and circulation function were observed.Results:All the patients were performed the operations smoothly.The level of MAP,HR and SpO_2 was normal during the surgery.Conclusions:Combination of spinal and epidural anesthesia in laparoscopy in children is noted for fine anesthetic effect,safety,little injury and economy.【 |
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| Keywords: | Anesthesia spinal Anesthesia epidnral Anesthetics combined Child Laparoscopy Appendectomy |
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