肿胀麻醉用于小儿躯干深度烧伤切痂植皮术18例  

作　　者：李江华[1] 国宏莉[1] 杨帆[1] 

机构地区：[1]湖北省十堰市太和医院·湖北医药学院附属医院,湖北十堰442000

出　　处：《中国药业》2015年第B12期57-58,共2页China Pharmaceuticals

摘　　要：目的探讨肿胀麻醉在小儿躯干烧伤切痂植皮手术中的止血疗效。方法选择小儿躯干烧伤切削痂植皮术中采用注射肿胀麻醉和传统全麻无局部注射的手术36例，比较手术失血量、输血量、心率、血压、尿量变化，术后皮片成活率及血肿形成情况。结果注射肿胀液后失血量和输血量均明显减少（P〈0．05），而心率、血压、尿量和术后皮片成活率及血肿形成情况无明显差异（P〉0．05）。结论在小儿躯干烧伤切削痴植皮术中行肿胀麻醉能有效控制术中出血，减少输血量，可预防术中、术后并发症，值得临床推广。Objective To investigate the hemostatic effect of tumescent anesthesia in pediatric operation excision in the trunk of burn cut＇. Methods By means of 36 cases of pediatric burn trunk escharectomy and skin grafting with tumescent anesthesia and conventional general anesthesia operation of local injection, compared to surgical blood loss, blood transfusion volume, heart rate, blood pressure, urine volume changes, postoperative skin graft survival rate and hematoma formation. Results The blood loss and blood transfusion were significantly decreased after the injection, but the heart rate, blood pressure, urine volume and the survival rate of skin graft and the formation of hematoma were not significantly different. Conclusion The hemostatic effect of tumescent anesthesia in pediatric operation excision in the trunk of burn cut is good ,and is worth of clinical promotion.

关 键 词：肿胀法 切痂术 止血 植皮 

分 类 号：R969.4[医药卫生—药理学] R971.2[医药卫生—药学]