报道了心电监护下６２例斜视手术中的心电图所见。其中４０例为氮胺酮全麻，术前肌注阿托品，眼心反射阳性率为２２．６％。局麻２２例，用２％利多卡因局麻，加０．５％地卡因表面麻醉，眼心反射阳性率为８３．７％。全麻眼心反射严重程度明显低于局麻。说明斜视手术时，使用阿托品和氯胺酮作为术前和麻醉用药可以预防或减轻术中严重的眼心反射。 Reported ECG 62 cases of strabismus surgery ECG. Forty of them were anesthetic benzodiazepines, preoperative intramuscular injection of atropine, ocular reflex positive rate was 22.6%. Local anesthesia in 22 cases, with 2% lidocaine local anesthesia, plus 0.5% of the surface anesthetic anesthesia, eye reflex positive rate was 83.7%. General anesthesia ocular reflex severity was significantly lower than local anesthesia. Description strabismus surgery, the use of atropine and ketamine as preoperative and anesthetic drugs can prevent or reduce intraoperative intraocular severe eye reflex.