摘要
目的观察小婴儿全麻复合单次硬膜外麻醉下行腹腔镜先天性巨结肠根治术的麻醉效果及CO2气腹对小婴儿呼吸、循环功能的影响。方法40例小婴儿行腹腔镜先天性巨结肠根治术,麻醉均采用气管插管全麻复合单次硬膜外麻醉,术中连续监测心率(HR)、平均动脉压(MAP)、心电图(ECG)、脉搏血氧饱和度(SpO2)、呼气末CO2分压(PETCO2)、最大吸气压(PIP),分别于气腹前、气腹后10min及20min、放气后10min记录各监测值。结果40例患儿麻醉效果满意,术后拔管时间(15.5±4.6)min。与术前比较,CO2气腹后HR、MAP、PETCO2显著升高(P<0.01),PIP显著升高(P<0.05),SpO2无明显变化(P>0.05)。结论CO2气腹对小婴儿的循环和呼吸系统影响较大,全麻复合单次硬膜外麻醉是适合小婴儿腹腔镜先天性巨结肠根治术的一种安全、可靠的麻醉方法。
[Objective] To observe the effect of the general anesthesia combined with epidural anesthesia for radical operation on congenital megacolon disease of infant under laparoscope and the effect of “gas-abdomen” on the respiratory and cardiovascular function. [Methods] 40 infant patients with congenital megacolon disease were randomly ranged to receive operation under general anesthesia combined with epidural anesthesia. ECG, HR, MAP, SpO2, PETCO2, PIP were continuously monitored. [Results] The Anesthetic effect was satisfactory and the tracheal extubation time is （15.5±4.6） min. Compared with the data before the “gas-abdomen”, HR, MAP, PETCO2, PIP increased significantly （P 〈0.05） after the “gas-abdomen”while, SpO2 maintained stable. [Conclusions] “gas-abdomen” had an obvious influence on the respiratory and cardiovascular function of the infant patients. General anesthesia combined with epidural anesthesia can provide a stable and effective anesthesia method for the radical operation on congenital megacolon disease of infant under laparoscope.
出处
《中国内镜杂志》
CSCD
北大核心
2005年第10期1022-1023,1026,共3页
China Journal of Endoscopy
关键词
先天性巨结肠
腹腔镜
麻醉
congenital megacolon disease
laparoscope
anesthesia
