患者住院号85225,女,14岁,体重35kg.右股骨骨折已40d,于1985年1月4日上午9时行右股骨开放复位,钢板内固定术.术前一般情况良好,血压、脉搏、呼吸、心电图、胸透均正常,实验室检查亦无特殊. 麻醉前肌注苯巴比妥0.1g、阿托品0.5mg,禁食16h.采用连续硬膜外阻滞,择L_(2-3)间隙,穿刺操作过程顺利.局麻药用利多卡因、丁卡因、哌替啶混合液,内含1∶20万肾上腺素.先注入4ml,8min后脊神经阻滞平面不明显,继注5ml,阻滞 The patient’s hospitalization number 85225, female, 14 years old, weighing 35kg. The right femoral fracture had been 40d, and the right femur was opened and reset at 9am on January 4, 1985. The preoperative conditions were generally good, blood pressure, pulse, Respiratory, electrocardiogram, thoracic were normal, laboratory tests were no special.Anesthesia before injection of phenobarbital 0.1g, atropine 0.5mg, fasting 16h.Using continuous epidural block, select L_ (2-3) Gap, puncture operation smoothly.Local anesthetics with lidocaine, tetracaine, meperidine mixture, containing 1: 200000 epinephrine.First injection of 4ml, 8min after spinal nerve block plane is not obvious, following the injection of 5ml, Blocking