我院近5年间共收治婴幼儿巨大胆总管囊肿、施行胆总管囊肿切除、肝总管空肠Rouy-Y吻合术11例,现将有关麻醉处理报道如下。 资料和方法 11例中女8例,男3例,年龄在8月～3岁,麻醉前禁食时间婴儿为2h、幼儿为4h。术前30min肌注阿托品0.02mg/kg和苯巴比妥钠4mg/kg,肌注氯胺酮4～6mg/kg作为基础麻醉。以16G穿刺针取T_(10～11)间隙穿刺,头向置管2～3cm。2岁以内局麻药为0.6％利多卡因和0.06％丁卡因,2岁以上用0.8％利多卡因和0.08％丁卡因的混合液,用量利多卡因6～8mg/kg、丁卡因1.0mg/kg。术中均面罩供氧,依需 Nearly 5 years in our hospital were treated infants and young children with huge choledochal cyst, choledochal cyst excision, jejunum jejunum Rouy-Y anastomosis in 11 cases, now reported about anesthesia are as follows. Materials and Methods 11 cases of female 8 cases, 3 males, aged from August to 3 years old, pre-anesthesia fasting infants 2h, children 4h. 30min before intramuscular injection of atropine 0.02mg / kg and phenobarbital sodium 4mg / kg, intramuscular injection of ketamine 4 ~ 6mg / kg as the basis of anesthesia. To 16G needle T_ (10 ~ 11) gap puncture, head to the catheter 2 ~ 3cm. Local anesthetics within 2 years of age were 0.6% lidocaine and 0.06% tetracaine, with a mixture of 0.8% lidocaine and 0.08% tetracaine over 2 years of age in a dose of 6-8 mg / kg lidocaine, 1.0 mg / kg. Intraoperative oxygen mask, according to need