天津医药

天津医药 ›› 2026, Vol. 54 ›› Issue (2): 216-219.doi: 10.11958/20252139

• 多学科诊疗 • 上一篇    下一篇

七氟烷吸入复合骶管阻滞麻醉用于超低出生体重儿小肠坏死切除术多学科诊疗1例

李丽1,2(), 王昊琦1,2, 杨洋1,2, 赵绪稳2,3, 刘金柱1,2   

  1. 1 天津市儿童医院（天津大学儿童医院）麻醉科（邮编300134）
    2 天津市儿童出生缺陷防治重点实验室
    3 天津市儿童医院（天津大学儿童医院）新生儿外科
  • 收稿日期:2025-06-04 修回日期:2025-08-14 出版日期:2026-02-15 发布日期:2026-02-12
  • 作者简介:李丽（1987），女，副主任医师，主要从事麻醉药物对小儿神经发育的长期影响方面研究。E-mail：xiaoyatoulili0919@163.com
  • 基金资助:
    天津市卫生健康科技项目(TJWJ2023MS037)

One case of multidisciplinary diagnosis and treatment of small bowel resection due to necrosis in extremely low birth weight infant using sevoflurane inhalation combined with caudal block anesthesia

LI Li1,2(), WANG Haoqi1,2, YANG Yang1,2, ZHAO Xuwen2,3, LIU Jinzhu1,2   

  1. 1 Department of Anesthesiology, Tianjin Children's Hospital (Children's Hospital, Tianjin University), Tianjin 300134, China
    2 Tianjin Key Laboratory of Birth Defects for Prevention and Treatment
    3 Department of Neonatologic Surgery, Tianjin Children’s Hospital (Children’s Hospital, Tianjin University)
  • Received:2025-06-04 Revised:2025-08-14 Published:2026-02-15 Online:2026-02-12

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摘要：

超低出生体重儿（ELBWI）由于多器官发育不成熟和免疫功能缺陷，围术期可能发生各种严重并发症，麻醉风险极高。该文介绍了1例全身多脏器发育不全伴严重感染的行小肠部分切除肠吻合术的ELBWI临床资料，经围术期充分的术前评估、精细化用药、多学科诊疗以及个体化预案制定等处理流程，使患儿获得了较好的预后。该文讨论了七氟烷吸入麻醉合并骶管阻滞的麻醉方法对于ELBWI腹部手术操作、术中镇痛、患儿血流动力学变化、不良反应发生及远期预后的影响，为麻醉医师在ELBWI的围术期管理中提供参考。

关键词: 婴儿，超低出生体重, 婴儿，早产, 氟烷, 麻醉药，吸入, 麻醉，脊尾

Abstract:

Extremely low birth weight infants (ELBWI) are at extremely high anesthetic risk due to immature organ development and immune dysfunction, which may lead to various severe perioperative complications. The article presents clinical data of a case of systemic multiple organ hypoplasia with severe infection underwent partial resection and anastomosis of the small intestine in an extremely low birth weight infant (ELBWI). Through comprehensive preoperative assessment, refined medication, multidisciplinary team collaboration, and individualized planning during the perioperative period, the child achieved a good postoperative outcome. The article discusses the impact of sevoflurane inhalation anesthesia combined with caudal block on abdominal operation, intraoperative analgesia, hemodynamic changes in the child, occurrence of adverse reactions and long-term prognosis in ELBWI, providing a reference for anesthesiologists in the perioperative management of ELBWI.

Key words: infant, extremely low birth weight, infant, premature, halothane, anesthetics, inhalation, anesthesia, caudal

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