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題 名 | Isoflurane引起惡性高熱之案例報告=Isoflurane Associated Malignant Hyperthermia: A Case Report |
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作 者 | 陳立材; 饒明元; 曹明正; 陳志豪; | 書刊名 | 藥學雜誌 |
卷 期 | 26:1=102 2010.03[民99.03] |
頁 次 | 頁143-149 |
分類號 | 418.215 |
關鍵詞 | 惡性高熱; Isoflurane; Dantrolene; Malignant hyperthermia; |
語 文 | 中文(Chinese) |
中文摘要 | 惡性高熱為先天性之基因缺陷,病人會對揮發性麻醉氣體及去極性的肌肉鬆弛劑產生嚴重藥物不良反應。惡性高熱常見之症狀為肌肉持續僵直、肌肉損傷、體溫急速上升、潮氣末二氧化碳濃度莫名上升、酸中毒、血壓上升、心跳過速、高血鉀等。若未被及時診斷與治療,將可能引發橫紋肌肉溶解、腎臟及心臟衰竭、腦部傷害、凝血病變等嚴重後果。本文描述一位 16歲男性病患因車禍事故,在住院期間第二次接受去極性神經肌肉阻斷劑 succinylcholine作麻醉誘導及吸入性麻醉劑 isoflurane施行全身麻醉手術,手術開始後陸續出現體溫急升至 40.5℃,潮氣末二氧化碳濃度高至 74 mmHg,肌酸激酶高達3927 IU/L之惡性高體溫症狀,並於 120分鐘後開始投予 dantrolene成功治療。醫師最後診斷為 isoflurane導致之中樞性惡性高熱。病人於住院醫療 46天後病情好轉而出院。 |
英文摘要 | Malignant hyperthermia (MH) is a pharmacogenetic disorder of skeletal muscle that presents as a hypermetabolic response to potent volatile anesthetic gasesand the depolarizingmuscle relaxant,. The classic signs of MH include hyperthermia to markeddegree, tachycardia, tachypnea, increasing carbon dioxideproduction, increasing oxygen consumption, acidosis, muscle rigidity, and rhabdomyolysis. All these are related to a hypermetabolic response. The syndrome is likely to be fatal if untreated. Early recognition of the signs of MH, specifically elevation of end-expired carbon dioxide (etCO2), provides the clues for clinical diagnosis.A16 years old boy, who admitted for exploratory laparotomy, was given isoflurane andsuccinylcholine for anaesthesia. During the symptom of anaesthesia, patient show the signs of elevation of etCO2, BT, CPK and tachycardia of MH. Thepatient was treated with dantrolene after 120 minute. This boy recoveredand transferred to a ward after 10 days of stayingin ICU. |
本系統中英文摘要資訊取自各篇刊載內容。