国内剖宫产常首选硬膜外阻滞为麻醉方法,术中分离或切开腹膜,娩出胎儿时,难免会产生牵拉痛、恶心和呕吐等反应(本文称之为腹膜牵拉反应),病人常不能耐受。氯胺酮用于产科,国内时有报道。我院于剖宫产术中,试用小剂量氯胺酮防止上述反应的出现,取得满意效果,现报告如下。1　资料 Domestic cesarean section is often the preferred method of epidural anesthesia, intraoperative separation or incision peritoneal, when the fetus is delivered, it will inevitably lead to pulling pain, nausea and vomiting and other reactions (referred to as peritoneal traction) Patients often can not tolerate. Ketamine for obstetrics, domestic time coverage. In our hospital in cesarean section, try a small dose of ketamine to prevent the emergence of the above reaction, and achieved satisfactory results, are as follows. 1 data