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- Elimination of Hypercapnia May Postpone the Clinical Presentation of Malignant Hyperthermia: A Case Report
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題 名 | Elimination of Hypercapnia May Postpone the Clinical Presentation of Malignant Hyperthermia: A Case Report=消除升高的吐氣末二氧化碳潮氣量會延後惡性高溫的臨床表現:一病例報告 |
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作 者 | 賈元一; 劉彥青; 李明謙; 羅瑗; 劉康; | 書刊名 | 中華醫學雜誌 |
卷 期 | 61:4 1998.04[民87.04] |
頁 次 | 頁230-234 |
分類號 | 416.5 |
關鍵詞 | 吐氣末二氧化碳潮氣量升高; 惡性高溫; 去極化肌肉鬆弛劑; Dantrolene; Hypercapnia; Malignant hyperthermia; Succinylcholine; |
語 文 | 英文(English) |
中文摘要 | 惡性高溫是一種不常見的麻醉併發症,一般認為和麻醉中使用的去極化肌肉鬆 弛劑或吸入性麻醉劑有關。這篇報告陳述一位下顎骨骨折的年輕患者,在全身麻醉下接受開 放性骨復位手術,不幸在給予去極化肌肉鬆弛劑後,發生嚴重的臉部抽搐及吐氣末二氧化碳 潮氣量升高,在給予適當處理後漸趨穩定。然而兩小時後,又發生吐氣末二氧化碳潮氣量升 高合併體溫上升,在給予dantrolene 120mg後,情況穩定且完成手術。同時,我們也將在 這裡討論臨床上以計點方式來診斷惡性高溫的方法。 |
英文摘要 | Malignant hyperthermia is a rare complication in clinical anesthesia, especially associated with the administration of succinylcholine or inhalation anesthetics. A 19-year-old patient, suffering from traumatic mandible fracture, underwent open reduction under general anesthesia. Unfortunately, following administration of succinylcholine, he also suffered severe facial twitch and the first episode of hypercapnia. After adequate management, the symptoms subsided. However, two hours later, the hypercapnia recurred, combined with progressive elevation of body temperature. After administration of intravenous dantrolene 120 mg, the patient's condition became stable and the procedure was completed without sequelae. As the muscle contracture test is not available in Taiwan, the clinical grading scale is presented as an alternative diagnostic method for malignant hyperthermia. |
本系統中英文摘要資訊取自各篇刊載內容。