1、小儿苏醒期躁动小儿苏醒期躁动第四阶段第四阶段第三阶段第三阶段第二阶段第二阶段第一阶段第一阶段麻醉深度减浅，感觉和运动功能逐步恢复。麻醉深度减浅，感觉和运动功能逐步恢复。出现自主呼吸，逐渐能自行调整呼出现自主呼吸，逐渐能自行调整呼吸频率和幅度。吸频率和幅度。呼吸道反射恢复。呼吸道反射恢复。清醒。清醒。分分 级级小儿扁桃体腺样体切除手术的特点小儿扁桃体腺样体切除手术的特点小儿扁桃体腺样体切除术后躁动小儿扁桃体腺样体切除术后躁动小儿扁桃体腺样体切除术后躁动小儿扁桃体腺样体切除术后躁动可能的致病因素可能的致病因素快速苏醒快速苏醒?快速苏醒快速苏醒?比较七氟烷和丙泊酚比较七氟烷和丙泊酚快速苏醒快速苏醒?
2、Eyckemans F.Excitation and delirium during sevoflurane anesthesia in pediatric patientsJ.Minerva Anesthesiol,2002,68:402-405.快速苏醒快速苏醒?延迟苏醒延迟苏醒OH AY,et al.Delayed emergence process does not result in a lower incidence of emergence agitation after sevoflurane anesthesia in children.Acta Anaesthesiol S
3、cand,2005,49:297-299.快速苏醒快速苏醒术后疼痛术后疼痛Uezono S,et al.Emergence agitation after sevoflurane versus propofol in pediatric patients.Anesth Analg,2000,91:563 566.年年 龄龄Aono J,et al.Greater incidence of delirium during recovery from sevoflurane anesthesia in preschool boys.Anesthesiology,1997,87:1298 300.术前焦虑术前焦虑Kain ZN,et al.Preoperative anxiety and emergence delirium and postoperative maladaptive behaviors.Anesth Analg,2004,99:1648 1654.性性 格格辅助的麻醉药辅助的麻醉药其他原因其他原因预防和治疗预防和治疗芬太尼芬太尼阿芬太尼阿芬太尼曲曲 马马 多多丙丙 泊泊 酚酚右旋美托咪定右旋美托咪定右美托咪定右美托咪定联合用药联合用药总总 结结目前存在的问题目前存在的问题谢 谢
