【摘要】 目的与方法：在４７例ＡＳＡⅠ级、年龄８月～１３．５岁、施择期整形外科手术的小儿，观察异丙酚、芬太尼和琥珀胆碱诱导，以异丙酚－芬太尼和肌松药维持麻醉的效果。结果与结论：用异丙酚诱导麻醉能产生满意的插管条件，并能明显抑制气管插管的心血管反应。与＞３岁小儿相比，＜３岁小儿的异丙酚诱导用量和维持用量均明显增高，清醒时间延长。更多还原

【Abstract】 Objective and Methods:Fortyseven healthy infants and children, ASA grade I, aged from 3 months to 135 years, undergoing elective plastic surgery, were included in the study. Anesthesia was induced with propofol 25～32mg/kg, fentanyl 2μg/kg and suxamethonium 15mg/kg. After the trachea was intubated, anesthesia was maintained with propofol, fentanyl for analgesia amd vecuronium for muscle relaxation. Results and Conclusion: Anesthesia induction with propofol could provide a good intubation condition and depressed significantly cardiovascular responses to tracheal intubation in children. Compared with children aged more than 3 years, children aged less than 3 years required larger dose of propofol in induction and maintance of anesthesia, and had a longer awake time. The incidences of early postoperative hypoxemia and vomitting in our subjects were 64% and 43%, respectively.更多还原