摘要
观察咪唑安定复合氯胺酮麻醉对９例（共１０次手术）并有呼吸道烧伤患者手术期间脉搏血氧饱和度（ＳｐＯ＿２）的变化。患者均用咪唑安定０．３ｍｇ／ｋｇ肌注，复合静滴０．１／氯胺酮。结果示ＳｐＯ＿２在用药后１０ｍｉｎ开始下降，２０ｍｉｎ降至最低（９１．９±１１．４５），但与麻醉前相比无显著性差异（Ｐ＞０．０５）；在用药后３０ｍｉｎＳｐＯ＿２逐渐回升，４０ｍｉｎ恢复至麻醉前水平。说明此两药复合麻醉对呼吸有一定的抑制作用，但程度轻、时间短。提示该麻醉用于烧伤患者（包括并有呼吸道烧伤者），处理得当仍是一种较为安全的麻醉方法。
Pulse oxygen saturation(SpO_2)were observed continuously during midazolam combined with ketamine anesthesia in 9 burned patients with inhlation injury。SpO_2 began reductionat 10 min and reached the lowest value at 20 min after anesthesia,but there was significantstatistical differences as compared with the control value before anesthesia。The SpO_2 rose a-gain gradually in 30 min after anesthesia,and in 40 min returned to normal.The reqults showed that midazolam combined with ketamine anesthesia had a slight andtransient inhibitory effect on respiration.Thus,we concluded that it was safe for burned pa-tients with inhalation injury if managing carefully.
出处
《江西医学院学报》
1994年第2期43-45,共3页
Acta Academiae Medicinae Jiangxi
关键词
咪唑安定
氯胺酮
麻醉
灼伤
脉搏血氧饱和度
midazolam
ketamine
anesthesia
burns pulse oxygen saturation complement word
