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1978年我院农村医疗队遇一例幼儿唇裂手术氯胺酮麻醉意外,现报导如下。杨某某,女,18个月。因先天性右上唇裂开,家长要求手术治疗,于1978年5月5日来我院农村医疗队(某公社卫生院)住院。体检:发育正常,体重10公斤,体温38.5℃,余无异常,胸透阴性,出凝血时间及血象均正常。口腔外科情况:右上唇为完全性唇裂,无腭裂。治疗经过:因入院体温38.5℃,且易哭闹,不宜手术而劝其出院。但由于家长迫切要求给予手术,不愿出院。3天后患儿体温下降到37℃,经麻醉医师会诊同意给予手术。于5月9日上午在氯胺酮麻醉下施行右唇裂修补术。氯胺酮首次剂量按5 mg/kg,共50mg肌注。后常规消毒铺巾,按三角瓣设计定点。定点完毕,患儿出现哭闹,距第一次用药约20分钟,麻醉医师给予第二次追加氯胺酮
In 1978, our hospital rural medical team encountered a case of pediatric cleft lip surgery ketamine anesthesia, are reported as follows. Yang Moumou, female, 18 months. Due to congenital right upper lip cleft, parents require surgery, on May 5, 1978 came to our hospital rural medical team (a commune hospital) hospitalized. Physical examination: normal development, weight 10 kg, body temperature 38.5 ℃, I no exception, chest X-ray, the clotting time and blood are normal. Oral surgery: upper right lip is a complete cleft lip, no cleft palate. After treatment: Admission due to body temperature 38.5 ℃, and easy to cry, should not surgery and advised to leave the hospital. However, due to the urgent request of parents for surgery, do not want to discharge. 3 days after the temperature dropped to 37 ℃, the doctor agreed to give the operation by the anesthesiologist. Right cleft lip repair was performed on ketamine anesthesia on the morning of May 9. The first dose of ketamine by 5 mg / kg, a total of 50mg intramuscular injection. After conventional disinfection shop towels, fixed by the triangular flap designate. Fixed-point, children crying, about 20 minutes from the first medication, anesthesiologists give a second additional ketamine