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目的:对咪唑安定复合氯胺酮在非气管插管静脉全麻下小儿眼科手术中的效果进行分析研究。方法:对87例眼科短小手术的患儿,应用咪唑安定复合氯胺酮进行静脉全麻。入室后对患儿进行多功能监测,对于个别不合作小儿先肌注氯胺酮3～5mg/kg,入睡后抱入手术间,缓慢静注咪唑安定0.05～0.4mg/kg,约2～3min后缓慢静注氯胺酮1～2mg/kg,手术开始前可选择性行球后阻滞。术中追加氯胺酮0.5～1mg/kg。结果:6例术中分泌物增加、屏气等原因出现不同程度的氧饱和度下降,立即进行吸痰、面罩加压吸氧等处理后好转,其余患儿均平稳结束手术。结论:咪唑安定复合氯胺酮对于非气管插管全麻下小儿眼科手术效果较好,具有较高临床使用和推广价值。
OBJECTIVE: To analyze the effect of midazolam combined with ketamine in pediatric ophthalmic surgery under general anesthesia with non-tracheal intubation. Methods: 87 cases of short-term ophthalmic surgery in children, the application of midazolam combined with ketamine intravenous anesthesia. Into the room after the multi-functional monitoring of children, for some non-cooperative children with intramuscular injection of ketamine 3 ~ 5mg / kg, after falling asleep into the operating room, intravenous infusion of midazolam 0.05 ~ 0.4mg / kg, about 2 ~ 3min after the slow Intravenous ketamine 1 ~ 2mg / kg, before the surgery can be selective after the ballon block. Intraoperative additional ketamine 0.5 ~ 1mg / kg. Results: Six patients had increased secretions, different levels of oxygen saturation such as breath holding, sputum aspiration, masks pressure and oxygen treatment and so on, and the rest of the patients had a smooth operation. Conclusion: Midazolam combined with ketamine has a good effect on pediatric ophthalmic surgery under general anesthesia with non-tracheal intubation, and has high clinical use and promotion value.