小儿眼科手术操作精细，因小儿不合作，均需选用全麻。国内外不少人主张采用气管内麻醉，但在实际工作中感到气管内麻醉用于小儿眼科手术时，麻醉管理困难，并发症较多。近十年来，我们把氯胺酮应用于小儿眼科手术，体会到该法具有诱导迅速，镇痛完善，镇静充分，容易保持... Pediatric ophthalmic surgery operation is fine, because children do not cooperate, need to use general anesthesia. Many people at home and abroad advocate the use of endotracheal anesthesia, but in actual work feel intratracheal anesthesia for pediatric ophthalmic surgery, anesthesia management difficulties, more complications. In the past decade, we apply ketamine to pediatric ophthalmic surgery and realize that the method has the advantages of prompt induction, complete analgesia, full sedation and easy maintenance.