銆€銆€寰�(f霉)鍚堥夯閱夋槸鎸囧悓鏅傛垨鍏堝悗鎳�(y墨ng)鐢ㄥ叐绋互涓婇夯閱夎棩鐗╂垨鍏朵粬杓斿姪钘ョ墿锛屼互閬斿埌瀹屽杽鐨勬墜琛�(sh霉)涓拰琛�(sh霉)鍚庨幃(zh猫n)鐥涘強婊挎剰鐨勫绉戞墜琛�(sh霉)姊濅欢銆傜洰鍓嶅悇绋叏楹昏棩鍠崹鎳�(y墨ng)鐢ㄩ兘涓嶅鐞嗘兂銆傜偤鍏嬫湇鍏朵笉瓒�锛屽父閲囩敤鑱�(li谩n)鍚堢敤钘ユ垨杓斾互鍏朵粬钘ョ墿锛屾鍗冲京(f霉)鍚堥夯閱夈€�

銆€銆€1.楹婚唹鍓嶇郸钘�(premedication)鎸囩梾浜洪€插叆鎵嬭(sh霉)瀹ゅ墠鎳�(y墨ng)鐢ㄧ殑钘ョ墿銆傛墜琛�(sh霉)鍓嶅甯哥敤鑻反姣斿Ε鎴栧湴瑗挎钞(瀹夊畾)浣跨梾浜烘秷闄ょ穵寮垫儏绶�銆傛鏅ㄥ啀鏈嶅湴瑗挎钞浣跨煭鏆己澶辫鎲躲€傛敞灏勯樋鐗囬閹�(zh猫n)鐥涜棩锛屼互澧炲挤楹婚唹鏁堟灉锛屾敞灏勯樋鎵樺搧浠ラ槻姝㈠斁娑插強鏀埃绠″垎娉屾墍鑷寸殑鍚稿叆鎬ц偤鐐�锛屽苟闃叉鍙嶅皠鎬у績寰嬪け甯�銆�

銆€銆€2.鍩虹(ch菙)楹婚唹(basal anesthesia)閫插叆鎵嬭(sh霉)瀹ゅ墠绲︿簣澶у姂閲忓偓鐪犺棩锛屽宸存瘮濡ラ绛夛紝浣块仈娣辩潯鐙€鎱�(t脿i)锛屽湪姝ゅ熀绀�(ch菙)涓婇€茶楹婚唹锛屽彲浣胯棩閲忔笡灏�锛岄夯閱夊钩绌�(w臎n)銆傚父鐢ㄤ簬灏忓厭銆�

銆€銆€3.瑾樺皫(d菐o)楹婚唹(induction of anestesia)鎳�(y墨ng)鐢ㄨ獦灏�(d菐o)鏈熺煭鐨勭～鍣村Ε閳夋垨姘у寲浜炴爱锛屼娇杩呴€熼€插叆澶栫楹婚唹鏈燂紝閬垮厤瑾樺皫(d菐o)鏈熺殑涓嶈壇鍙嶆噳(y墨ng)锛岀劧鍚庢敼鐢ㄤ粬钘ョ董鎸侀夯閱�銆�

銆€銆€4.鍚堢敤鑲屾澗钘ュ湪楹婚唹鍚屾檪娉ㄥ皠鐞ョ弨鑶藉牽鎴栫瓛姣掑牽椤�锛屼互婊胯冻鎵嬭(sh霉)鏅傝倢鑲夋澗寮涚殑瑕佹眰銆�

銆€銆€5.浣庢韩楹婚唹(hypothermal anesthesia)鍚堢敤姘笝鍡娇楂旀韩鍦ㄧ墿鐞嗛檷婧檪涓嬮檷鑷宠純浣庢按骞�(28锝�30鈩�)锛岄檷浣庡績銆佽叇绛夌敓鍛藉櫒瀹樼殑鑰楁哀閲�锛屼互渚夸簬鎴琛€娴侊紝閫茶蹇冭嚐鐩磋鎵嬭(sh霉)銆�

銆€銆€6.鎺у埗鎬ч檷澹�(controlled hypotension)鍔犵敤鐭檪浣滅敤鐨勮绠℃摯寮佃棩纭濇櫘閳夋垨閳ｆ嫯鎶楀姂浣胯澹撻仼搴﹂仼鏅備笅闄嶏紝骞舵姮楂樻墜琛�(sh霉)閮ㄤ綅锛屼互娓涘皯鍑鸿銆傚父鐢ㄤ簬姝㈣姣旇純鍥伴洠鐨勯”鑵︽墜琛�(sh霉)銆�

銆€銆€7.绁炵稉(j墨ng)瀹夊畾閹�(zh猫n)鐥涜(sh霉)(neuroleptanalgesia)甯哥敤姘熷搶鍒╁鍙婅姮澶凹鎸�50锛�1鍒舵垚鐨勫悎鍔戜綔闈滆剤娉ㄥ皠锛屼娇鎮ｈ€呴仈鍒版剰璀樻湨鏈э紝鑷富鍕曚綔鍋滄锛岀棝瑕烘秷澶憋紝閬╃敤浜庡绉戝皬鎵嬭(sh霉)銆傚鍚屾檪鍔犵敤姘у寲浜炴爱鍙婅倢鏉捐棩鍓囧彲閬旀豢鎰忕殑澶栫楹婚唹锛岀ū鐐虹缍�(j墨ng)瀹夊畾楹婚唹(neuroleptanaesthesia)銆�

銆€銆€鍒跺姂鍙婄敤娉�

銆€銆€楹婚唹涔欓啔(anesthetic ether)鍚�3%涔欓唶鐨勫瘑灏佹鑹插皬鐡跺埗鍔�锛�100ml/鐡讹紝150ml/鐡�锛�250ml/鐡�锛岀敤閲忔寜鎵嬭(sh霉)闇€瑕佸強楹婚唹鏂瑰紡鑰屽畾銆�

銆€銆€姘熺兎(halothane)20ml/鐡�锛岀敤閲忔寜闇€鑰屽畾銆�

銆€銆€鐣版盁鐑�(isoflurane)100ml/鐡�锛岀敤閲忔寜闇€鑰屽畾銆�

銆€銆€鎭╂盁鐑�(enflurane )20ml/鐡�锛�250ml/鐡�锛岀敤閲忔寜闇€鑰屽畾銆�

銆€銆€姘у寲浜炴爱(nitrous oxide)閶肩摱瑁濓紝娑插寲姘ｉ珨銆�

銆€銆€纭櫞濡ラ垑(thiopental sodium)绮夐嚌鍔�锛�0.5g/鐡讹紝鐢ㄦ檪閰嶆垚2.5%婧舵恫绶╂參闈滄敞锛屼竴娆℃サ閲�1g锛岄潨婊翠竴鏃ユサ閲�2g.

銆€銆€绁炵稉(j墨ng)瀹夊畾閹�(zh猫n)鐥涘悎鍔�(innovar)2ml/鐡�锛�5ml/鐡�銆傛瘡ml鍚盁鍝屽埄澶�2.5mg锛岃姮澶凹0.05mg.鍔戦噺0.1ml/kg闈滄敞鎴栬倢娉�銆�

銆€銆€楣介吀姘兒閰�(ketamine hydrochloride)10mg/ml锛�50mg/ml.闈滆剤瑾樺皫(d菐o)楹婚唹锛�1锝�2mg/kg锛岀董鎸佺敤閲忔瘡娆�0.5mg/kg.

2009骞村煼(zh铆)妤�(y猫)钘ュ斧璩囨牸鑰冭│鍫卞悕鍖附

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