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我院自1986年以来,在治疗小儿麻痹后遗症,施多种(近50余种)矫形手术2473例,其中使用氯胺酮麻醉占29.1％,椎管内麻醉64.7％。施行氯胺酮麻醉出现不良反应及并发症17例,现分析如下, 〔病例1〕:齐小俞、女、13岁、体重30kg。3岁时因患小儿麻痹症双下肢瘫,1989年3月来院施行右侧腹外斜肌移位术。术前给阿托品0.3mg,鲁米那0.05g,术前半小时肌注氯胺酮5mg/kg,8分钟后意识蒙胧手术开始,40分钟患儿躁动,即静脉缓注氯胺酮30mg,入睡后10分钟呼吸变慢、即停止。此刻心率从120次/分降至90次/分,面罩给氧手术暂停,人工
Our hospital since 1986, in the treatment of sequelae of polio, applied a variety of (nearly more than 50 kinds) orthopedic surgery 2473 cases, of which ketamine anesthesia accounted for 29.1%, spinal anesthesia 64.7%. The implementation of ketamine anesthesia appeared in 17 cases of adverse reactions and complications, are analyzed as follows [Case 1]: Qi Xiaoyu, female, 13 years old, weighing 30kg. 3 years old suffering from polio double lower limb paralysis, to hospital in March 1989 to perform right lateral oblique shift. Preoperative atropine 0.3mg, 0.05mg luminal, intramuscular injection of ketamine 5mg / kg half an hour before surgery, 8 minutes after the onset of consciousness hazy surgery, 40 minutes of agitation in children, that is, slow intravenous ketamine 30mg, sleep 10 minutes after breathing Slow down, stop. At the moment heart rate from 120 beats / min to 90 beats / min, mask oxygen surgery suspended, artificial