【摘要】 目的　总结婴儿期腭裂手术麻醉的经验。方法　回顾近 2年 3 8例 4～ 12月婴儿腭裂修复术麻醉资料 ,对手术及麻醉适应症、麻醉方式的选择以及并发症的处理进行分析。结果　麻醉期间循环呼吸的变化、入睡时间、手术时间、出血量、苏醒时间及清醒时间与大于周岁的腭裂患儿麻醉相比无明显差异 ,术中镇痛满意 ,循环呼吸平稳 ,SPO2 >95 % ,无呼吸抑制。但麻醉并发症明显增多 ,3 8例婴儿麻醉中呼吸梗阻 6例 ,导管滑脱 1例 ,分泌亢进 1例 ,气道困难 2例 ,经处理后完成全麻手术。安全度过围手术期。结论　严格掌握适应症 ,合理选择麻醉方法 ,早期预防和处理并发症 ,婴儿期间腭裂手术的麻醉是安全可行的更多还原

【Abstract】 Objective The purpose of this study was to snmmarige some experience in anesthesia of palatorrhapty of infants.Method 38 patients, ranged from 4 - 12 months ASA-Ⅰgrade infants with cleft palate received general anesthesia were retrospected. The choice of anaesthetize way and complication of anesthesia were analyzed. Result There was no significant difference in the time of leading to sleep, be awake from anesthesia, and conscious of anesthesia when compared with the child who was age over 1 year. But there was a higher incidence of obstruction airway. Conclusion Anesthesia in palatorrhaphy of infants is safe and beneficial, if the indication of anesthesia can be properly considered and reasonable method of anesthesia was chosen and complications would be prevented and treated in earlier time.更多还原