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小儿快速诱导插管心血管系反应大多以窦性心动过速多见,室性心动过速较少见。我院小儿手术仅发生过2例室性心动过速,此2例病人均行口内手术,1例为男性6岁行腭裂修补术,1例为男性8岁行舌下腺囊肿摘除术。术前检查无麻醉禁忌,常规术前用药,诱导插管方法如常。第1例用利多卡因后转为窦性心律,第2例使用利多卡因却无效,反而出现四肢抽动,经静推硫喷妥钠后室速得到控制转为窦性心律。 该2例小儿口内手术发生室性心动过速时均在口
Cardiovascular induction of intubation in children with mostly sinus tachycardia more common, ventricular tachycardia rare. Only 2 cases of ventricular tachycardia occurred in pediatric surgery in our hospital. All 2 patients underwent oral surgery. One patient underwent 6-year-old cleft palate repair and one patient underwent 8-year-old male sublingual adenoid cyst excision. No preoperative anesthesia taboos, conventional preoperative medication, induction of intubation as usual. The first case was converted to sinus rhythm with lidocaine. The second case was ineffective with lidocaine. Instead, all limbs were twitched. Ventricular tachycardia was controlled by intravenous injection of thiopental into sinus rhythm. The 2 cases of pediatric oral ventricular tachycardia surgery occurred in the mouth