癫痫患儿行腺样体、扁桃体摘除术中的麻醉管理

Anesthesia both in an adenoidectomy and in a tonsillectomy for epileptic children

目的:评估癫痫患儿行腺样体、扁桃体摘除术时麻醉方法的安全性。方法:采用咪唑安定、异丙酚、芬太尼、维库溴胺、低浓度安氟醚气管插管静吸复合麻醉。结果:麻醉效果好,无1例发生阵发性抽搐。结论:咪唑安定、异丙酚、酚太尼、维库溴胺、低浓度安氟醚气管插管静吸复合麻醉可安全用于癫痫患儿行腺样体、扁桃体摘除术。

Objective： To evaluate the security of anesthesia management both in adenoidectomy and in tonsillectomy for epileptic children. Method： Anesthesia was induced with midazolam, propofol, fentanyl and vecuronium by endotracheal intubation and retention with a low concentration of enflurane. Result： The response was good. Hyperspasmia did not occur during the operations. Conclusion： Combined anesthesia management is more responsible and safe for epileptic children both in an adenoidectomy and in a tonsillectomy.