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患儿男,3岁,维族,14kg。1996年1月16日拟在氯胺酮麻醉下行左侧腹股沟斜疝高位结扎修补术。术前一天患儿有轻微咳嗽,体温正常,肺部未闻及干罗音,但呼吸音粗,X线胸片报告未见异常。术前45分钟肌注苯巴比妥钠50mg,阿托品0.2mg,入手术室肌注氯胺酮75mg,3分钟后患儿有1—2声咳嗽,5分钟安静入睡,抱入手术室,给5%葡萄糖250ml静滴,待术者消毒铺单完毕准备开始手术,从静脉给5%氯胺酮20mg静推。随后患儿出现剧烈呛咳、憋气、呼吸不畅,脸色青紫,偶有吸气、呼气伴喉鸣,肺部听诊无笛音,确诊为喉痉挛。即给托下颌,面罩加压给氧,静推安定注射
Children male, 3 years old, Uygurs, 14kg. January 16, 1996 under ketamine anesthesia in the left inguinal hernia ligation repair. Children with mild cough, normal body temperature and no lung notes and dry rales on preoperative day, however, had rough breathing sounds and no abnormalities were reported on X-ray. Forty-five minutes prior to intramuscular injection of phenobarbital sodium 50mg, atropine 0.2mg, Intramuscular injection of ketamine 75mg, 3 minutes after the children have 1-2 coughs, 5 minutes to sleep quietly, hold the operating room to 5% Glucose 250ml intravenous infusion, to be surgery who finished disinfection paving ready to start surgery, intravenous 5% ketamine 20mg static push. Subsequently, children with severe cough, suffocation, poor breathing, face bruising, occasional inhalation, exhaled with throat, lung auscultation without flute, diagnosed as laryngospasm. That is to care for the jaw, the mask pressure to oxygen, static push stability injection