【摘要】 目的 比较全麻复合连续臂丛与单纯全麻在小儿麻醉中的应用。方法 41例小儿断指再植用全麻加连续臂丛(A组，n=22)或全身麻醉法(B组，n=19)，比较麻醉苏醒时间，麻醉期间循环、呼吸变化，术中及术后并发症或副作用。结果 A组氯胺酮量明显少于B组，麻醉时间与B组相似，呼吸抑制少于B组，苏醒时间明显短于B组(P<0.05)，麻醉期血压、心率明显低于B组(P<0.05)，术后恶心呕吐、烦躁、精神副作用等并发症低于B组(P<0.01)，麻醉效果优于B组。结论 两种方法均能满足手术的要求，全麻加连续臂丛镇静镇痛更完善，并发症更少，优于单纯全身麻醉。

    Gui Junyun，Gu Miaoning，Chen Dayan

    Department of Anesthesiology，Nanhai Hospital of Traditional Chinese Medicine，Foshan528200.

    【Abstract】 Objective To evaluate the efficacy of two kinds of anesthesia(brachial plexus block combined anesthesia，group A and general anesthesia，group B)for replantation of amputated finger in children.Methods 41patients of emergency for replanlation of amputated finger in children.ASA status:I and II，age ranged from2-14years and body weight9-36kg.After general anesthesia we give the patients continuous brachial plexus block，if there is indication for it ......