頁籤選單縮合
題名 | 新生兒麻醉案例之回顧 |
---|---|
作者姓名(中文) | 薛建輝; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 25:3 民81.05-06 |
頁次 | 頁1190-1195 |
分類號 | 417.66 |
關鍵詞 | 新生兒麻醉; |
語文 | 中文(Chinese) |
中文摘要 | 本文收集自1986年起至1990年底止,五年內在本院新生兒開刀房施行手術麻醉的個案,一共是583人,男性佔371例,女性佔212例。全部病人接受氣管內插管全身麻醉,氣管內管的內徑由2.5 mm至4.0 mm不等:體重以2501 gm至3000 gm的病人佔多數,為272人;手術原因最多的是肛門閉鎖症;最常用的麻醉維持劑是吸入性麻醉氣體,很少利用非去極性肌肉鬆弛劑;其中並無發現因麻醉導致之死亡病例。本研究的目的是利用衆多的新生兒麻醉個案,透過電腦記錄追踪整理,分析新生兒麻醉在本院的演變和趨勢,並且經由其中的錯誤,探討改進的方針。雖然經由五百多個病例評估後,並無不妥當的麻醉操作,但如果麻醉人員能增加新生兒的急救加護訓練,應當是為理想。 |
英文摘要 | An assessment of neonatal anesthesia from 1986 to 1990 at Mackay Memorial Hospital was done. The original data are collected by means of computer information. There was 583 cases consisted of 371 male and 212 female newborns in which 265 cases were emergencies. Other analysing items included surgical diagnosis, tube sizes used, weights and ages grouping, anesthetic techniques as well as the systems used. The results showed that all of them received the intubational general anesthesia. The eldest age group was 0-3 days (53.7%), and the largest body weight group was 2501 gm-3000 gm (46.7%). The endotracheal tube sizes varied from 2.5 mm to 4.0 mm. The most commonly seen cases were the imperforate anus (109 cases). The anesthetic equipment used included Semi-closed system (421 cases), Infant cycle (113 cases), and Bain system (49 cases). Nearly all the cases received inhalational gases as induction agents as well as maintenance. Non-depolarizing muscle relaxants were rarely used. No mortality due to anesthesia was noted. The goal of this study is to figure out the rights and wrongs of the anesthetic work concerning newborns done in the past in order to reemphasize the important aspects of neonatal anesthesia and suggest the improvements in the future. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。