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氯胺酮问世以来,已广泛应用于临床各科手术的麻醉。通过临床应用,我们认为氯胺酮是一种较好的麻醉药。也有人认为氯胺酮有升高眼压的作用,也有的报导有降眼压的作用。为此我们对7O例眼科手术眼压的变化进行观察。我们单纯用氯胺酮麻醉的45例,氯胺酮、安定、氟派定复合麻醉的25例。麻醉前常规肌注鲁米那3mg/kg,阿托品0.01ms/kg或东茛菪碱0.01mg/ks。术前给患儿滴0.3%地卡因做表面麻醉。用修兹氏眼压计测定眼压麻醉前测一次,麻醉后10分钟再测一次,麻醉后30分钟再测一次。
Since the advent of ketamine, anesthesia has been widely used in clinical surgery. Through clinical application, we believe that ketamine is a better anesthetic. Some people think that the role of elevated intraocular pressure ketamine, there are reports of ocular hypotensive effect. To this end, we observed changes in intraocular pressure in 7O cases of ophthalmic surgery. We simply use ketamine anesthesia in 45 cases, ketamine, diazepam, fluoropiclidine anesthesia in 25 cases. Conventional intramuscular injection of conventional luminal 3mg / kg, atropine 0.01ms / kg or scopolamine 0.01mg / ks. Preoperative children with drops of 0.3% doxylamine do surface anesthesia. With Xuesi’s tonometer to measure intraocular pressure test before anesthesia, 10 minutes after anesthesia retest once again 30 minutes after anesthesia retest.