综述了氯胺酮文献报道的不良反应 ,提示氯胺酮应用时应掌握其适应症和禁忌症 ,并尽可能用小剂量和常规剂量 ,同时辅以颠茄类、镇静安眠类药物以减少不良反应的发生率。 The adverse reactions reported in the literature of ketamine were reviewed. It is suggested that ketamine should be used in its indications and contraindications. When possible, low and normal dosages of ketamine should be used, while auxins should be supplemented to sedative and hypnotic drugs to reduce the incidence of adverse reactions .