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男,23岁,住院号4241。因咽喉部疼痛一年合并慢性肾炎收院作扁桃体摘除术。术前全身及实验室检查无异常。1980年7月22日施行局麻扁桃体切除术,术前常规用药。2%地卡因喷咽部3次。术者按常规在两侧扁桃体、扁桃体周围注射1%普鲁卡因加1‰肾上腺素8滴混合液,总量约25ml。注射完毕,患者突不省人事,倾倒在手术床上,四肢痉挛,面部潮红,脉搏快,呼吸不规则,迅即呼吸停止,瞳孔散大。麻醉科立即作了气管内插管,加
Male, 23 years old, hospital number 4241. A year due to throat pain with chronic nephritis hospital for tonsillectomy. Preoperative whole body and laboratory tests were normal. July 22, 1980 implementation of local anesthesia tonsillectomy, preoperative routine medication. 2% tetracaine injection 3 times. The surgeon routinely injects 1% procaine and 1 ‰ epinephrine 8 drops around the amygdala and amygdala around the amygdala in a total amount of about 25 ml. Injection is completed, the patient sudden unconsciousness, dumped in the operating bed, limb spasms, facial flushing, fast pulse, irregular breathing, rapid breathing stopped, mydriasis. Anesthesia immediately made endotracheal intubation, plus