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我院自1993年9月～1994年6月为19例10kg以内的先心病患儿实施了心内直视手术麻醉。男12例,女7例,其中TOF6例,VSD8例(伴PH6例),TGA1例,DoRv 2例,SV 2例,年龄6个月～1(11/12)岁。麻醉前用药:安定0.2mg/kg、阿托品0.02mg/kg、发绀型患儿安定改用吗啡0.1mg/kg肌注。麻醉诱导:芬太尼20μg/kg与泮库溴铵0.1mg/kg或卡肌宁0.5mg/kg分次静注,然后经口插管,重症或估计保留插管时间较长的患儿术毕改口插管为鼻插管。切皮和CPB前追加芬太尼10μg/kg,并吸入安氟醚,深低温停循环前机内加入2.5％硫喷妥钠5～10mg/kg。监测SpO_2、ECG、动脉压及中心静脉压。13例低温体外循环,全转流时间94.5±28.5min,主动脉阻断时间56.5±
Our hospital from September 1993 to June 1994 for 19 cases of 10kg children with congenital heart disease underwent open-heart surgery. There were 12 males and 7 females, including TOF6, VSD8 (with PH6), TGA1, DoRv2 and SV2, ranging in age from 6 months to 1 (11/12) years. Before anesthesia medication: Diazepam 0.2mg / kg, atropine 0.02mg / kg, cyanotic children with stable morphine 0.1mg / kg intramuscular injection. Induction of anesthesia: fentanyl 20μg / kg and pancuronium bromide 0.1mg / kg or cardiomycin 0.5mg / kg intravenous injection, and then oral intubation, severe or estimated to retain a longer period of intubation surgery Bi change mouth intubation for nasal intubation. Pentade and CPB before additional fentanyl 10μg / kg, and inhaled enflurane, deep hypothermic circulatory arrest before the machine added 2.5% thiopental 5 ~ 10mg / kg. SpO2, ECG, arterial pressure and central venous pressure were monitored. 13 cases of hypothermic cardiopulmonary bypass, the total bypass time was 94.5 ± 28.5min, the aortic occlusion time was 56.5 ±