小儿腹腔镜手术麻醉42例临床体会

Young child peritoneoscope surgery anaesthetizes 42 examples clinically to realize

目的：探索小儿腹腔镜手术的麻醉方法及管理.方法： 对42例小儿腹腔镜手术病例进行回顾性分析,所有病例均采用气管插管及全身麻醉,术中连续监测ECG、HR、MAP、SPO2、PETCO2.结果： 所有患儿麻醉满意,手术顺利,均未出现严重并发症.结论： 小儿腹腔镜手术麻醉处理有一定难度,CO2 气腹对小儿生理功能有一定干扰,但只要做好充分术前准备,选择合适的麻醉方法,合理用药,加强呼吸循环功能监测,就能使小儿腹腔镜手术的麻醉顺利完成.

Objective： Explores the young child peritoneoscope surgery the anaesthesia method and the management. Methods： Carries on the review analysis to 42 example young child peritoneoscope surgery case of illness,all case of illness use the trachea intubation and the general anesthesia, in the technique continuous monitoring ECG, HR, MAP, SPO 2, PETCO 2. Resu61ts： All trouble anaesthesia satisfaction, the surgery is smooth, has not appeared the serious complication. Conclusion： Young child perhoneoseope surgery anaesthesia processing has certain difficulty, the CO 2 pneumoperitoneums has certain disturbance to the young child physiology function,hut so long as prepares for in front of the full technique,chooses the ap proprlate anaesthesia method, the reasonable medication, the enhancement respiratory cycle function monitor, can cause the young child peritoneoscope surgery the anaesthesia to complete smoothly.