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題 名 | Succinylcholine-Induced Cardiac Arrest in Unsuspected Becker Muscular Dystrophy--A Case Report=Becker Muscular Dystrophy病患接受Succinylcholine導致心跳停止的病例報告 |
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作 者 | 吳志成; 曾家順; 沈靜慧; 楊巽智; 齊光彪; 何謂明; | 書刊名 | 麻醉學雜誌 |
卷 期 | 36:3 1998.09[民87.09] |
頁 次 | 頁165-168 |
分類號 | 416.5 |
關鍵詞 | 小兒; 肌肉失養症; Pediatric; Muscular dystrophy; Succinylcholine; |
語 文 | 英文(English) |
中文摘要 | 一位五歲男孩準備接受常規扁桃腺切除術,在接受halothane的面罩麻醉並給予靜 脈注射succinylcholine後發生了心跳停止。在施行十分鐘的心肺復甦術及靜脈注射calcium gluconate、epinephrine、sodium bicarbonate並給予心臟去顫術後,心跳終於回復並沒有神經 後遺症。引起本併發症的原因可能是succinylcholine造成骨骼肌溶解而導致的高血鉀症。因 此,對於已知或懷疑有肌肉失養症的患者,應避免使用succinylcholine。 |
英文摘要 | A five year-old boy undergoing elective tonsillectomy sustained cardiac arrest following the adminstration of a single dose of succinylcholine during induction of anesthesia. With a 10- minute cardiopulmonary resuscitation (CPR) during which intravenous calcium gluconate, epinephrine, and sodium bicarbonate were given and DC counter shock applied, we were successful to restore cardiac activity without neurological sequelae. The cause of cardiac arrest we speculated was hyperkalemia, possibly secondary to succinylcholine-induced rhabdomyolysis. It is suggested that succinylcholine should not be used in patients with known or suspected musclular dystrophy. |
本系統中英文摘要資訊取自各篇刊載內容。