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在镇静状态下对儿科患者进行MRI检查及监测。

MRI examination and monitoring of pediatric patients under sedation.

作者信息

Volle E, Park W, Kaufmann H J

机构信息

MRI Unit, Institute of Pediatric Radiology and Neuroradiology, Poststrasse 16, Hofapotheke, D-87439 Kempten, Germany.

出版信息

Pediatr Radiol. 1996;26(4):280-1. doi: 10.1007/BF01372113.

DOI:10.1007/BF01372113
PMID:8677147
Abstract

From April 1992 to May 1994, 780 patients aged from 1 day to 8 years were examined. Sedation of these patients was conducted by giving chlorprothixene orally and, in some cases, chloral hydrate had to be added. The patients were monitored with a pulse oxymeter. Investigations could begin after 50 -120 min. In 710 patients (91%) the first attempt to perform the examination was successful; 70 patients required one or two further attempts. Only two of the 780 patients (0.5%) showed evidence of respiratory depression. The total number of pediatric MRI examinations performed in 1 year is almost 1000. In the hands of an experienced pediatric radiologist these examinations can be performed entirely without anesthesia.

摘要

1992年4月至1994年5月,对780例年龄从1天至8岁的患者进行了检查。这些患者通过口服氯丙硫蒽进行镇静,在某些情况下还必须添加水合氯醛。使用脉搏血氧仪对患者进行监测。50 - 120分钟后可以开始检查。710例患者(91%)首次检查尝试成功;70例患者需要再进行一到两次尝试。780例患者中只有2例(0.5%)出现呼吸抑制迹象。1年中进行的儿科MRI检查总数近1000例。在经验丰富的儿科放射科医生手中,这些检查完全可以在不使用麻醉的情况下进行。

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本文引用的文献

1
Guidelines for the monitoring and care of children during and after sedation for imaging studies.
AJR Am J Roentgenol. 1993 Mar;160(3):581-2. doi: 10.2214/ajr.160.3.8430558.
2
Sedation in pediatric CT: national survey of current practice.儿科CT检查中的镇静:当前实践的全国性调查
Radiology. 1990 Jun;175(3):745-52. doi: 10.1148/radiology.175.3.2343126.
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Sedation of pediatric patients: an anesthesiologist's perspective.儿科患者的镇静:麻醉医生的观点。
Radiology. 1990 Jun;175(3):613-5. doi: 10.1148/radiology.175.3.2343104.
儿科磁共振镇静检查:是否必要?替代方法的依据是什么?
Pediatr Radiol. 2011 Nov;41(11):1353-64. doi: 10.1007/s00247-011-2147-7. Epub 2011 Jun 16.
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Sedation and analgesia for brief diagnostic and therapeutic procedures in children.儿童简短诊断和治疗操作中的镇静与镇痛
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