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題名 | 氯胺酮肌肉內注射後引起呼吸停止、肺水腫與多重器官衰竭之死亡病例報告=Death from Respiratory Arrest, Pulmonary Edema and Multiorgan Failure Following Intramuscular Ketamine Injection |
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作者姓名(中文) | 戴世澤; 廖訓禎; 楊坤儒; | 書刊名 | 中華民國急診醫學會醫誌 |
卷期 | 3:3 2001.09[民90.09] |
頁次 | 頁50-55 |
分類號 | 416.5 |
關鍵詞 | 氯胺酮; 有意識鎮靜; 呼吸停止; 肺水腫; 多重器官衰竭; Ketamine; Conscious sedation; Respiratory arrest; Pulmonary edema; Multiorgan failure; |
語文 | 中文(Chinese) |
中文摘要 | 一位四歲健康男孩因意外造成下巴撕裂傷,在縫合傷口前給予肌肉注射每公斷3.7毫克的氯胺酮(ketamine)以鎮靜病患,隨後病患依序呈嗜睡、尿失禁、手腳冰冷、四技不自主運動、跪拜姿勢與發紺,注射後20分鐘發生呼吸停止和肺水腫現象,經急救17小時後因多重器官衰辦而死亡。本文針對此病例回顧相關文獻,並探討可能致死機轉。 |
英文摘要 | A healthy 4-year-old boy was brought to the emergency room after an accidental jaw laceration. He was given intramuscular ketamine (3.7mg/kg) for sedation. Unfortunately, apnea developed 20 minutes later, preceded by drowsiness, urinary incontinence, coldness of the extremities, involuntary limb movement, trunk kneeling and finally, cyanosis, respiratory arrest and pulmonary edema. He eventually died of multigrain failure some 17 hours after the ketamine injection. This case highlights the potential lethality of ketamine. Close observation with an EKG and pulse oximetry, as well as appropriate preparation for possible resuscitation are advisable if ketamine is to be used. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。