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丁卡因为表面麻醉药,渗透性强,毒性大,如果超量误用,将迅速抑制循环与呼吸,危及生命。现将扁桃体摘除术中,误用丁卡因作浸润麻醉,引起急性中毒猝死1例报告于下:患者,男,26岁,因咽部反复疼痛伴畏寒3年余入院。检查:体温36.5℃,血象正常,双侧扁桃体Ⅱ°,无脓性分泌物,诊断“慢性扁桃体炎”,决定手术摘除。术中误将2％丁卡因当成2％普鲁卡因,作浸润麻醉,右侧扁桃体周围组织注射12毫升,10分钟后病人述胸部难受,心慌,脉搏130次/分,未予处理,15分钟后将右扁桃体摘下;左侧又注入12毫升,5分钟后出现躁动,四肢抽搐、身体扑倒,不
Because of surface anesthetics, tetracaine is highly permeable and toxic, and if it is misused, it will rapidly inhibit circulation and breathing and endanger life. Now amygdalotomy, misuse of tetracaine for infiltration anesthesia, acute poisoning caused a sudden death report: the patient, male, 26 years old, due to repeated pharyngitis with chills and more than 3 years admitted to the hospital. Check: body temperature 36.5 ℃, normal blood, bilateral tonsils Ⅱ °, no purulent secretions, the diagnosis of “chronic tonsillitis”, decided to surgical removal. Surgery mistakenly 2% tetracaine as 2% procaine for infiltration anesthesia, the right side of the tonsils surrounding tissue injection of 12 ml, 10 minutes later the patient described the chest uncomfortable, palpitation, pulse 130 beats / min, untreated, 15 minutes after the right tonsils off; left and injected 12 ml, 5 minutes after the onset of agitation, limbs convulsions, body flutter, not