术,建议做好以下麻醉管理:? 1)抗胆碱药:长托宁等。? 2)肾上腺糖皮质激素:氢化可的松 1~2mg/kg 或等效剂量的同类药物。或合用气管扩张药物。? 3)足够补液,气体湿化。? 4)尽量避免气管插管,考虑使用喉罩,全程SpO2监测。? 5)使用七氟烷或(和)异丙酚。РParnis等通过分析2051例手术患儿的麻醉,提出了8种能预测麻醉风险的因素:? 父母提供的“感冒”病史? 咳痰? 鼻粘膜充血? 使用抗胆碱酯酶药? 打鼾? 被动吸烟? 诱导方法(硫喷妥钠>氟烷>七氟醚>异丙酚)? 气道干预(气管插管>喉罩>面罩)РAn LMA used in children with recent URIs was associated with a higher incidence of laryngospasm, cough, and oxygen pared with healthy children. However, the overall incidence of adverse respiratory events was low, suggesting that if anesthesiologists allow at least a 2-week interval after a URI, they can safely proceed with anesthesia using an LMA.? ? Laryngeal Mask Airway Is Associated with an Increased Incidence of Adverse Respiratory Events in Children with Recent Upper Respiratory Tract Infections.Anesthesiology 2007; 107:714–9
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