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[鸡胸手术后漏斗胸畸形患儿的术后时期特征]

[Characteristics of postoperative period in children with funnel chest deformity after thoracoplasty].

作者信息

Mishina T P, Isalabdulaeva P A, Magomedov A D, Makhachev S M

出版信息

Anesteziol Reanimatol. 2010 Jan-Feb(1):50-4.

PMID:20564939
Abstract

The efficiency of postoperative analgesia using the epidural infusion of bupivacaine (0.2 mg/kg/hr) in 42 children and with opioid analgesics (1 mg per year of life) was studied in 17 children after Paltia thoracoplasty for funnel chest deformity. Analysis of hemodynamic and external respiratory parameters and visual pain scores demonstrated the high postoperative efficiency of analgesia using the epidural infusion of bupivacaine. By causing respiratory depression, opioid analgesics did not deteriorate alveolar ventilation during active postoperative management.

摘要

对42例儿童采用硬膜外输注布比卡因(0.2毫克/千克/小时)进行术后镇痛的效果进行了研究,对17例因漏斗胸畸形行胸骨翻转术的儿童采用阿片类镇痛药(每岁1毫克)进行术后镇痛的效果也进行了研究。对血流动力学和外部呼吸参数以及视觉疼痛评分的分析表明,硬膜外输注布比卡因术后镇痛效果良好。虽然阿片类镇痛药会引起呼吸抑制,但在积极的术后管理期间,其并未使肺泡通气恶化。

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Invited commentary.特邀评论
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引用本文的文献

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Epidural analgesia versus intravenous patient-controlled analgesia following minimally invasive pectus excavatum repair: a systematic review and meta-analysis.微创漏斗胸修复术后硬膜外镇痛与静脉自控镇痛的系统评价和荟萃分析
J Pediatr Surg. 2014 May;49(5):798-806. doi: 10.1016/j.jpedsurg.2014.02.072. Epub 2014 Feb 22.