Defossez M, Le Bec G, Sancier A, Manelfe C, Espagno M T, Bouzat A, Sevely A
Anesth Analg (Paris). 1979;36(11-12):525-9.
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.
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。