患者,女,5岁,住院号27969。因左先天性髋脱位而住院,术前一般状况良好,体温36.5℃,血压80/50毫米汞柱,脉搏100次/分,心肺正常,肝睥未触及,无其它先天畸形。二氧化碳结合力60容积％,非蛋白氮34.0毫克％,肝功正常,术前用药阿托品0.3毫克,杜冷丁25毫克,肌注,开放诱导,气管内插管,用往复式麻醉机维持麻醉Ⅲ期1到2级,血压110/80毫米汞柱,脉搏在120～140次/分之间,呼吸38次/分。于截骨时突然发现四肢肌肉抽搐,误以为麻醉过浅,加深麻醉,不见好转抽搐很快波及面部及全身,呼吸由微弱到停止,瞳孔散大,口唇发绀,体温39.2℃,收缩压升到130毫米汞柱,脉搏达160次/分,立即停 Patient, female, 5 years old, hospital number 27969. Due to left congenital dislocation of the hip and hospitalization, preoperative general good condition, body temperature 36.5 ℃, blood pressure 80/50 mm Hg, pulse 100 beats / min, normal heart and lung, liver plover is not touched, no other congenital malformations. Carbon dioxide binding capacity of 60% by volume, non-protein nitrogen 34.0 mg%, normal liver function, preoperative atropine 0.3 mg, 25 mg dolantin, intramuscular injection, open induction, endotracheal intubation, anesthesia with reciprocating anesthesia to maintain phase Ⅲ 1 to 2, blood pressure 110/80 mm Hg, pulse 120 to 140 beats / min, breathing 38 beats / min. Suddenly found in the osteotomy muscle twitching limbs, mistakenly superfluous anesthesia, deepen anesthesia, no improvement convulsions quickly spread to the face and body, breathing from weak to stop, dilated pupils, lips cyanosis, body temperature 39.2 ℃, systolic blood pressure rose to 130 mmHg, pulse up to 160 beats / min, stop immediately