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临床资料例1,男,7岁,24kg。患儿患急性阑尾炎,拟在氯胺酮静脉复合全麻下行阑尾切除术。术前药安定5mg肌注。入室后静注氟氛合剂l/4,5分钟后,静注氯胺酮50mg,手术进行20分钟时发现患儿颈项强直,角弓反张,上肢肌肉抽搐,出现锥体外系反应症状,紧急给予山莨菪碱3mg静注,5分钟后恢复
Clinical data example 1, male, 7 years old, 24kg. Children suffering from acute appendicitis, intended to be combined ketamine intravenous anesthesia appendectomy. Preoperative drug stability 5mg intramuscular injection. Intraventricular injection of fluorine mixture l / 4,5 minutes after intravenous ketamine 50mg, 20 minutes of surgery found in children with neck stiffness, angle arch anti-Zhang, upper extremity muscle twitch, the symptoms of extrapyramidal reactions, the emergency given to the mountain 3mg intravenous hyoscyamine, recovery after 5 minutes