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患儿,男,7岁。体重:18kg,先天性腭裂Ⅲ°入院。于1987年6月9日全麻上行腭裂修复术。术前检查:患儿BP:14.7/9.3kPa,P:108次,化验及心电图检查未见异常,无眼病及神经精神病史,麻醉前30min肌注阿托品0.25mg,鲁米那50mg,入手术室后首次肌注氯胺酮100mg,入睡后给2.5％硫苯妥纳12ml,口腔插管,1％普鲁卡因静脉维持。术中BP在14.7/10.7～84/6.7kPa,P:110次,手术历时2h,术后患儿6h完全清醒,正确回答问话,两眼视物不清,术后14h患儿哭闹不安,恐惧,双上肢颤动,于术后3天视力完全消失。经眼科及神经科会诊。眼底检查正常。瞳孔等大,光反射正常。神经系统未见异常。经给能量合剂,利尿及扩血管药物治疗。视力于术后15天开始好转,1个月基
Children, male, 7 years old. Weight: 18kg, congenital cleft palate Ⅲ ° admission. On June 9, 1987 general anesthesia cleft palate repair. Preoperative examination: children with BP: 14.7 / 9.3kPa, P: 108 times, no abnormalities in laboratory and electrocardiographic examination, no eye disease and neuropsychiatric history, 30min before anesthesia intramuscular injection of atropine 0.25mg, luminal 50mg, into the operating room After the first intramuscular injection of ketamine 100mg, after falling asleep to 2.5% thiabendazole 12ml, oral intubation, 1% procaine intravenous maintenance. Intraoperative BP in 14.7 / 10.7 ~ 84 / 6.7kPa, P: 110 times, surgery lasted 2h, 6h after surgery in children fully awake, correctly answering questions, both eyes blurred, after 14h children crying uneasy , Fear, both upper limb fibrillation, visual acuity completely disappeared 3 days after surgery. After eye and neurological consultation. Fundus examination is normal. Pupil and other large, normal light reflex. Nervous system no abnormalities. After giving energy mixture, diuretic and vasodilator drug treatment. Visual acuity began to improve after 15 days, 1 month base