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报告小儿眼外伤100例。其中合并上呼吸道感染者多达78％,尤以5岁以下患儿、外地患儿和病程较长者为多,可能与免疫机能降低和局部感染扩散有关。针对这类患儿发病急,术前准备时间短,且多半有上呼吸道感染的特点。分组以不同方法进行术前用药和麻醉处理。结果表明:患儿合并上呼吸道感染并非麻醉手术禁忌。只要措施得当,对这类患儿施行急诊手术时,应用以氯胺酮为主的麻醉方法,仍然是安全可行的。
Report 100 cases of pediatric eye injury. Among them, up to 78% of patients with upper respiratory tract infection, especially in children under 5 years of age, children with more long-term illness and more may be related to immune function and spread of localized infection. For these children with acute onset, preoperative preparation time is short, and most of the characteristics of upper respiratory tract infection. Subgroups were premedicated and anesthetized in different ways. The results show that: children with upper respiratory tract infection is not taboo anesthesia surgery. As long as the measures are taken properly, it is still safe and feasible to use ketamine-based anesthesia for emergency surgery in these children.