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| 小儿蛛网膜下腔阻滞的临床研究进展 |
| Clinical research progress of spinal anesthesia in children |
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| DOI：10.12089/jca.2023.02.015 |
| 中文关键词: 儿童 蛛网膜下腔阻滞 药物 超声 |
| 英文关键词: Child Spinal anesthesia Drugs Ultrasound |
| 基金项目:兰州大学第二医院萃英科技创新计划（CY2020-BJ04）；兰州大学第二医院萃英科技创新计划（CY2018-BJ08） |
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| 中文摘要: |
| 小儿蛛网膜下腔阻滞（腰麻）在20世纪初首次引入临床，因能降低与全麻相关的发病率和死亡率，而被广泛应用于小儿腹部以下手术。近年来，凭借较小的循环呼吸功能干扰和围术期麻醉监测技术的发展，小儿腰麻再次受到关注，相关研究日益增多。本文着重围绕小儿腰麻的优势、局麻药物用法、辅助用药、超声在小儿腰麻中的应用、现存问题等五个方面进行综述，通过总结国内外应用现状，探讨其在小儿部分手术中的优势，以期为小儿腰麻的临床实践提供参考。 |
| 英文摘要: |
| Spinal anaesthesia in children was first introduced in the early 20th century as a method of decreasing the morbidity and mortality associated with general anaesthesia, which has been widely applyed for pediatric surgery below the level of abdomen. In recent years, spinal anesthesia in pediatric draws attention again for its less interference in circulation and respiration as well as advances in monitoring technology during perioperative, and its related research has been increasing. This article will focus on five aspects including the advantages of spinal anesthesia in children, the selection of local anesthetics and specific gravity, auxiliary medication, the application of visualization technology, and the existing safety issues. By summarizing the current status of its application home and abroad, it will discuss the advantages of spinal anesthesia in some pediatric operations, hoping to provide a reference basis for clinical practice of spinal anesthesia in children. |
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