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氯胺酮和氟烷对儿童体温影响的临床研究(作者译)

[Clinical investigations of the temperature effects of ketamine and halothane in children (author's transl)].

作者信息

Unseld H, Hashemian A, Junger H

出版信息

Prakt Anaesth. 1975 Feb;10(1):9-14.

PMID:1233468
Abstract

In 68 from 1- to 14-years-old children rectal temperature was measured in Ketamine and Halothane anesthesia and with room temperatures ranging from 22-25 and 26-28 degree centigrade, while orthopedic repair operations were performed on the extremities. Independent of the quality of the premedication, which consisted either of Ketamine (Atropine or Thalamonal) Atropine a significant rise in temperature of 0,4 to 0,5 degrees C. was found within one hour of Ketamine anesthesia, but only with room temperatures of 26-28 degrees C., while with lower room temperatures (22-25 degrees C.) rectal temperature remained unchanged. The rise in temperature occurred both in Ketamine monoanesthesia with spontaneous respiration and in Ketamine-N2O-O2 anesthesia with respiration controlled.

摘要

在68名1至14岁儿童中,于氯胺酮和氟烷麻醉下,在室温分别为22 - 25摄氏度和26 - 28摄氏度时测量直肠温度,同时对四肢进行骨科修复手术。无论术前用药质量如何(术前用药为氯胺酮(阿托品或氟哌利多)加阿托品),在氯胺酮麻醉后一小时内,仅在室温为26 - 28摄氏度时,体温显著升高0.4至0.5摄氏度,而在较低室温(22 - 25摄氏度)时直肠温度保持不变。体温升高在氯胺酮单麻醉自主呼吸以及氯胺酮 - N₂O - O₂麻醉控制呼吸的情况下均会发生。

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