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[儿童小手术中不同术前用药方法的比较分析]

[Comparative analysis of different premedication methods in minor surgery in children].

作者信息

Stepanova N A, Riabinskaia G V, Shchitinina E I, Abiazova M Kh

出版信息

Anesteziol Reanimatol. 1995 Jan-Feb(1):37-40.

PMID:7605033
Abstract

Oxygen regimen, hemodynamics, hemocoagulation, vegetative status, and immune status of patients subjected to multiple surgical interventions under anesthesia are analyzed. Three premedication schemes are considered. Routine fluothane anesthesia with nitrogen oxide + oxygen or calypsol after standard premedication is inadequate in children when used repeatedly. Tramal, a new analgesic, used in premedication, is highly effective, causes no side effects, and ensures sufficiently deep and prolonged analgesia. Use of neurovegetative blocking for premedication is a new and most physiological method of analgesia to be used in multiple minor surgical interventions in patients with burns.

摘要

分析了在麻醉下接受多次外科手术干预的患者的氧疗方案、血流动力学、血液凝固、植物神经状态和免疫状态。考虑了三种术前用药方案。标准术前用药后采用一氧化二氮+氧气或卡利普索进行常规氟烷麻醉,在儿童中反复使用时效果不佳。曲马多,一种新型镇痛药,用于术前用药,效果显著,无副作用,可确保足够深度和持久的镇痛效果。使用神经植物阻滞进行术前用药是一种新型且最符合生理的镇痛方法,可用于烧伤患者的多次小手术。

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