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目的:探讨高原地区小儿先天性心脏病非心脏手术的麻醉处理。方法:本组50例均为经彩色多普勒超声心动图检查确诊的患者,入室后监测心电图、无创血压(BP)及血氧饱和度(SpO2),纯氧面罩持续吸入。根据手术、病情分别采用静脉复合麻醉,气管插管静脉复合全身麻醉、单次硬膜外麻醉。结果:所有患儿均顺利完成手术,麻醉效果满意,全组无麻醉并发症。结论:高原地区先心病患儿麻醉处理的重点,术中积极纠正低氧血症,维持足够麻醉深度及供养,保证血流动力学的稳定,是麻醉成功关键。
Objective: To investigate the anesthetic management of children with congenital heart disease in non-cardiac surgery in the plateau area. Methods: All the 50 patients were diagnosed by color Doppler echocardiography. After admission, the electrocardiogram, noninvasive blood pressure (BP) and oxygen saturation (SpO2) were monitored. According to surgery, the condition was intravenous anesthesia, tracheal intubation intravenous general anesthesia, single epidural anesthesia. Results: All children were successfully completed surgery, satisfactory anesthesia, the whole group without complications of anesthesia. Conclusion: The key point of anesthesia success is the focus of anesthesia treatment in children with CHD in the plateau, positive correction of hypoxemia during operation, maintenance of sufficient depth of anesthesia and maintenance, and assurance of hemodynamic stability.