小儿神经外科手术的麻醉管理

Pediatric neurosurgery operation management

目的探讨小儿神经外科手术的麻醉方法及围术期有关处理。方法回顾分析2013年1月~2015年6月小儿神经外科手术69例的麻醉管理方法。采取麻醉前访视与禁食、麻醉诱导、气道管理、术中监测、麻醉维持、术中液体和电解质管理等方法,观察患儿预后情况。结果 1例术中发生心跳骤停后经抢救成功,预后良好;1例术后死亡,其余均麻醉经过平稳,康复出院。结论小儿神经外科手术麻醉风险大,麻醉应从术前评估,术中气道、循环、脑保护、体温管理及疾病本身各方面准确判断,及时处理,对降低围术期并发症的发生率和死亡率至关重要。

Objective To investigate the anesthesia of pediatric neurosurgery.Methods Anesthesia methods used in the management of 69 cases of pediatric neurosurgery from January 2013 to June 2015 were retrospectively studied.To visit before anesthesia and fasting,anesthesia induction, airway management, intraoperative monitoring, maintain anesthesia, intraoperative fluid and electrolyte management method, the prognosis of children were observed.Results 1 case after cardiac arrest in the successful rescue,prognosis was good;1 case of postoperative death,the procedures of other cases were successfully carried out.Conclusion The risk of pediatric neurosurgery anesthesia is big,Pediatric neurosurgery anesthesia risk big,the anesthesia from preoperative assessment, intraoperative airway, circulation, brain protection,temperature control and disease itself various aspects accurate judgment,timely treatment,to reduce the incidence of perioperative complications and mortality is important.