【摘要】 <正> 我院自1979～1981年共使用氯胺酮麻醉1542例,现就临床使用情况,介绍如下, 临床资料:性别:男性824例,女性718例。使用方面:(1)单纯氯胺酮麻醉391例。(2)静脉氯胺酮复合麻醉963例。(3)辅助其他麻醉188例。给药途径,剂量与作用时间:①静脉单次给药,剂量1—2毫克/公斤体重。维持15—20分钟。②肌肉注射,常用量4—6毫克/公斤体重。个别达10毫克/公斤体重。将总量一次或三分之一剂量先肌注,20—30分钟后注完全量。如手术时间长,需追加药物时,可按总量二分之一剂量补充。更多还原

【Abstract】 The author has summarized clinical experiences in ketamine administration as anesthatic agent in 1542 cases and points out: 1. Ketamine is a vapid, complete analgesic agent with wide indications and little side effect. It particularly suits childten. 2. Before the administration of ketamine a thorough understanding of the original djsense should be emphasized. The supplement of fluid to cotrct hypovolemia,the managament of acid-base inbalance and oxygen thearapy are important in severe cases 3. There is little influenc on respiratory and circulatory system when ketamine is used properly. It often acts as an adrenogenic agent. Occasionally, it may stimulate vague nerve, causing bradycardia hypotension and even death. 4. There is a synergistic effect of analgesia while ketamine is used in combining with other anesthetic agents,thus the dosage of ketamine can be reduced.更多还原