【摘要】 目的 :观察咪唑安定、氯胺酮和丙泊酚用于成年人特重烧伤削痂植皮术的麻醉效果。方法 :选择 18～ 71岁的特重烧伤病人 4 1例 ,共行 82次削痂植皮术 ,在保留自主呼吸下 ,单次静注咪唑安定 0 .1～ 0 .15mg/kg ,分次静注氯胺酮 ,首剂量 1.5～ 2mg/kg ,追加量为 1mg/kg ,持续泵注丙泊酚 2～4mg/kg .h维持静脉麻醉 ,结果 :82例次手术麻醉过程顺利 ,术后病人清醒快 ,恶心呕吐发生率低 ,满意率高。结论 :咪唑安定、氯胺酮和丙泊酚用于成年人特重烧伤削痂植皮术的麻醉 ,用药量少 ,效果好 ,是较理想的麻醉方法。更多还原

【Abstract】 Objective: To study the effect of anesthesia with midazolam,ketamine and propofol are used for tangential excision and skin grafting for severely burned patients.Method: 82 operations have been carried out on 41 adults,who were aged 18 to 71 and suffered severe burn.The patients being able to breathe normally,Anesthetize them with intravenous medazolam 0.1～0.15mg/kg all at time,Initial dose of ketamine is 1.5～2mg/kg ,repeated maintenance dose is 1mg/kg each time,propofol 2～4mg/kg.h continousy. Result: Anesthesia has been successful for 82 cases giving highly satisfaction,Patients recovered quickly with an low rate of sickness.Conclusion: Using midazolam,ketamine and propofol for clinical study of anesthesia for tangential excision and skin grafting for severly burned patients.Only little dose is needed.The high efficiency proves that this a ideal way of anesthesia.更多还原