小儿眼科手术要求患儿安静，意识消失，眼球固定，术野清晰，且能控制眼的反射，内眼手术还需要防止眼压升高等［１］。既往多采用氯胺酮麻醉，但氯胺酮能增加脑血流量，升高颅内压和眼压，还可出现精神症状。故我院自１９９８年１１月起以异丙酚、芬太尼和局麻用于小儿眼... Pediatric ophthalmic surgery requires quiet children, loss of consciousness, eye fixation, surgical field is clear, and can control the eye reflex, intraocular surgery also need to prevent intraocular pressure increases [1]. Ketamine anesthesia in the past, but ketamine can increase cerebral blood flow, increased intracranial pressure and intraocular pressure, but also the emergence of psychiatric symptoms. Therefore, our hospital since November 1998 with propofol, fentanyl and local anesthesia for pediatric eye ...