小剂量氯胺酮致一过性失明1例

The small dosage chloramine alkone sends one has lost one＇s sight 1 example

氯胺酮是一种临床麻醉中常用的静脉用全麻药 ,多用于小儿麻醉 ,阻滞不全时可作为辅助用药,使用方便,但对神经系统、循环系统、呼吸系统等的副作用较多,使用氯胺酮麻醉应密切观察患者的变化,及时进行处理.其神经系统副作用常见梦幻、谵忘、狂燥、呻吟、肢体乱动、幻觉、幻听、幻视等,一般发生在刚苏醒时 ,持续约 15～ 30分钟.成人较小儿更易发生,但引起双目失明少见.本例用量少,出现一过性失明症状临床少见,其原因可能与氯胺酮对外侧膝状体、视辐射和皮质视觉区的影响有关,有待于进一步探讨.

The chloramine alkone is in one clinical anaesthesia the commonly used vein with the entire anesthetic, uses in the young child anaesthetizing, hinders not not entire when may take the assistance medication, the easy to operate, hut to the nervous system, the circulatory system, the respiratory system and so on the side effect are many, the use chloramine alkone anaesthesia should observe patient＇s change closely, carries on processing promptly. Its nervous system side effect common illusion, raves forgets, dry, the groan, the body crazily moves heedlessly, the illusion, listens to, the photism imaginary and so on, occurs generally when just regained consciousness, holds renews a contract 15-30 minutes. The adult compares the young child to change the occurrence, but causes both eyes to lose one＇s sight rarely. This example amount used are Jew, appears one has lost one＇s sight the symptom clinically rare, its reason possible and the ehloramine alkone to the flank geniculate body, regards the radiation and the cerebral cortex visual area influence related, waits for in further discusses.