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[婴幼儿的神经镇静与头颅计算机断层扫描(作者译)]

[Neuro-sedation and cranial C.-T. scan in infants and children (author's transl)].

作者信息

Defossez M, Le Bec G, Sancier A, Manelfe C, Espagno M T, Bouzat A, Sevely A

出版信息

Anesth Analg (Paris). 1979;36(11-12):525-9.

PMID:554477
Abstract

Sixty-four infants and children under 14 years of age had a neuro-sedation, for a cranial C.-T. Scan. This entirely painless procedure requires complete immobility of the patient. We used two sorts of methods: for infants under eight months of age, a premedication followed by a feeding-bottle is sufficient. For children over eight months of age, intravenous administration of gamma-hydroxy-butyrate at 30 to 50 mg/kg induces light but sufficient sleep in obtaining a useful scan. Within the group of 24 infants we obtained 14 good results, 8 mild ones and 2 failures. Within the 40 children over eight months of age, 28 procedures were good, 10 children had to undergo more anesthesia during the examination and twice the exploration was impossible.

摘要

64名14岁以下的婴幼儿接受了神经镇静,以进行头颅CT扫描。这种完全无痛的检查需要患者完全静止不动。我们采用了两种方法:对于8个月以下的婴儿,先进行术前用药,然后给一个奶瓶就足够了。对于8个月以上的儿童,静脉注射30至50毫克/千克的γ-羟基丁酸可诱导轻度但足够的睡眠,以获得有效的扫描结果。在24名婴儿组中,我们获得了14个良好结果、8个轻度结果和2个失败结果。在40名8个月以上的儿童中,28次检查结果良好,10名儿童在检查期间需要更多麻醉,还有两次无法进行检查。

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