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张×,女,72岁.住院号8029.1987年12月1日以双眼老年性白内障住院.入院时T、P、R正常.BP17.5/11kPa(1kPa=7.5mmHg).ECG低电压、不完全性右束枝传导阻滞,左室劳损.12月8日右眼冷冻摘除白内障.12月14日拟行左眼手术并拆右眼结膜缝线.术前按常规用药:晚口服眠尔通0.4;术晨服乙酰唑胺0.5,肌肉注射鲁米那钠0.1;快速静脉滴注甘露醇250ml.在球后注射2%利多卡因2ml+0.1%肾上腺素0.01ml及轮匝肌麻醉用2%利多卡因3ml后,患者诉右侧头顶剧痛.即停止操作.此时BP16/9.5kPa,P76次/分.5分钟后患者语音含混,呼吸带鼾音.10分钟后,出现左下肢瘫痪,膝
Zhang ×, female, 72 years old. Hospital number 8029. December 1, 1987 with binocular senile cataract hospitalization at admission T, P, R normal .BP17.5 / 11kPa (1kPa = 7.5mmHg) .ECG low voltage, incomplete Right bundle branch block, left ventricular strain .12 December right eye frozen cataract removal. Dec. 14 to be planned left eye surgery and conjunctival suture removal of the right eye. Preoperative according to conventional medication: Overnight oral Myer 0.4; intraoperative acetazolamide 0.5, intramuscular injection of luminal sodium 0.1; rapid intravenous infusion of mannitol 250ml 2% injection of 2% lidocaine 2ml 0.1% epinephrine 0.01ml and orbicularis muscle 2 % Lidocaine 3ml, the patient complained of severe pain in the right side of the head. That is to stop the operation. At this time BP16 / 9.5kPa, P76 beats / min .5 minutes after the patient vomit, breathing snoring sound .10 minutes later, the left lower extremity Paralyzed, knees