小儿先天性腭裂修补术麻醉38例体会

Experiences of Anaesthesia in the Repair of Children’s Congenital Cleftpalate

目的： 探讨小儿先天性腭裂修补术中不同年龄阶段麻醉方法及药物选择和呼吸道管理问题。方法：对１９９６ 年７ 月～１９９９ 年９ 月收治的腭裂３８ 例，术中全部进行全身静脉麻醉气管内插管，并根据不同的年龄阶段选用不同麻醉药物。结果：不同年龄段采用不同的麻醉药物诱导，不但插管顺利，而且便于术中呼吸道管理和预防术后并发症发生。结论：腭裂修补术麻醉处理关键在于正确的麻醉方法及药物选择，术中和术后的呼吸道管理。

Objective: To probe into the selection of anaesthetic methods and related anaesthetic agents and the supervision of the respiratory tract in the repair of children’s congenital cleftpalate. Methods: Selecting different anaesthetic agents according to the ages to make a general vein anaesthesia in 38 children with congenital cleftpalate, who were admitted from July 1996 to September 1999. Results: In the repair of the cleftpalate, the proper selection of anaesthetic agents on the basis of ages benefits the tube insertion with tracheotomy and the supervision of respiratory tract during the operation, which is thus good for preventing some complications after the operation. Conclusions: It is the key point of the anaesthesia in the repair of cleftpalate to select proper anaesthetic methods and agents properly and to pay more attention to the supervision of the respiratory tract during the operation.