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患儿,男,5岁.因右眼红痛视物不见2月余收入院.入院检查:右眼无光感.结膜混合充血(?),角膜全层浑浊,前房积脓,虹膜后粘连,瞳孔区呈黄色反光.全身检查无特殊.诊断:右眼化脓性眼内炎.在氯胺酮全麻下行右眼球摘除术.术前半小时肌注阿托品0.3mg,并给予地卡因表面麻醉,2%利多卡因2ml加肾上腺素2滴(用5号针头计滴数),球后阻滞及结膜下浸润麻醉.沿角膜缘剪开球结膜并向后分离,有齿镊轻夹内直肌拟剪断时患儿心跳突然停止,面色苍白,立即暂停手术,约1分钟后心率恢复正常,手术继续进行将内直肌剪断.在剪断
Children, male, 5 years old due to the right eye red pain, depending on the material is not seen in more than 2 months income hospital admission examination: right eye no light feeling conjunctival mixed congestion (?), Full corneal turbidity, empyema empyema, iris adhesions , The pupil area is yellow reflective .Special body examination no special .Diagnosis: right eye purulent endophthalmitis .Eyetopectomy under ketamine anesthesia .Anesthesia 0.3mg intramuscularly and half a day before surgery, and give the surface anesthesia of dexamethasone, 2 % Lidocaine 2ml adrenaline 2 drops (with a 5-gauge needle count), the ball block and subconjunctival infiltration anesthesia along the limbus cut the conjunctiva and separation of the back, tweezers light clip medial rectus abdominis To be cut off when the child suddenly stopped heartbeat, pale, immediately suspended surgery, about 1 minute after the heart rate returned to normal, the surgery continued to cut the rectus abdominis.