28例小儿扁桃体摘除手术的麻醉处理

Anesthesia in Pediatric Patients With Tonsillectomy for 28 Cases

目的讨论并分析小儿扁桃体摘除手术的临床麻醉效果。方法选取2014年9月~2015年8月收治的扁桃体摘除手术患儿28例,对其麻醉方法和麻醉效果进行回顾性的分析。结果在麻醉诱导时,患儿血压出现降低;在麻醉诱导、气管插管、手术中、术后拔管时患儿心率降低。拔管过程中,有3例患儿发生躁动,2例患儿拔管后出现呼吸困难,在处理后好转,术后3例患儿出现呕吐,无其他不良反应。结论小儿扁桃体摘除手术的麻醉效果较好,不良反应轻且少,安全性较高。

Objective To discuss and analyze the clinical effect of anesthesia in pediatric patients with tonsillectomy. Methods From September 2014 to August 2015,28 patients in our hospital were selected,and the methods of anesthesia and the effect of anesthesia were analyzed retrospectively. Results In the induction of anesthesia,the blood pressure of the children was significantly decreased,and the heart rate was significantly decreased in the induction of anesthesia,intubation,surgery,extubation. During decannulation,3 cases with the incidence of agitation,2 cases of extubation in children with difficulty breathing after,turn for the better after the treatment,postoperative 3 cases patients had vomiting,no other adverse reactions. ConclusionPediatric tonsillectomy has a better anesthetic effect,adverse reaction of light and less,security is high.