肿胀麻醉在小儿深度烧伤切痂手术中的应用

Application of tumescent anesthesia cutting scab operation in pediatric deep burn

目的:探讨肿胀麻醉在小儿烧伤切痂手术中的止血疗效。方法:湖北十堰442000通过40例小儿烧伤切削痂人工皮覆盖术中采用注射肿胀麻醉和传统的全麻无局部注射的手术,相比手术失血量、输血量、心率、血压、尿量变化。结果:注射肿胀液后失血量和输血量均明显减少,而心率、血压和尿量确无明显差异。结论:在小儿烧伤切削痂术中采用肿胀麻醉技术能有效的控制术中出血,减少输血量,预防术中、术后并发症。

Objective： To investigate the hemostatic effect of tumescent anesthesia in pediatric burn eschar operation cut. Methods： Through the operation of 40 cases of pediatric burn escharectomy artificial skin to cover the intraoperative use of injection of tumescent anesthesia and general anesthesia without the traditional local injection, operation blood loss compared to change quantity, blood transfusion amount, heart rate, blood pressure, urine volume. Result： The swelling liquid injection after blood loss and blood transfusion were significantly reduced, and the heart rate, blood pressure and urine volume was not significant difference. Conclusion： In the pediatric burn escharectomy during operation with tumescent technique to the control of hemorrhage effectively, reduce the amount of blood transfusion, the prevention of intraoperative, postoperative complications.