[麻醉相关性恶性高热与多器官功能障碍综合征]
[Anesthetic malignant hyperthermia and multiple organ dysfunction syndrome].
作者信息
Brossier T, Gwinner N, Fontaine P, Girard C
机构信息
Département d'anesthésie-réanimation, centre hospitalier universitaire, 2, boulevard de Lattre-de-Tassigny, BP 1542, 21034 Dijon, France.
出版信息
Ann Fr Anesth Reanim. 2001 Aug;20(7):647-50. doi: 10.1016/s0750-7658(01)00437-3.
The typical explosive form of malignant hyperthermia caused by following isoflurane anaesthesia is a well-known phenomenon. Nevertheless, since dantrolene is used, its evolution toward a multiple organ failure has been rarely described. We report a case of typical explosive malignant hyperthermia caused by an isoflurane anaesthesia complicated by a cardiovascular failure, a disseminated intravascular coagulation, an acute liver failure and an acute renal failure. Afterwards, muscle weakness of the right calf was the only aftermath.
异氟烷麻醉引发的典型恶性高热爆发形式是一种广为人知的现象。然而，自从使用丹曲林以来，其发展为多器官功能衰竭的情况却鲜有描述。我们报告了一例由异氟烷麻醉引起的典型恶性高热爆发病例，该病例并发心血管衰竭、弥散性血管内凝血、急性肝衰竭和急性肾衰竭。之后，仅遗留右小腿肌肉无力的后遗症。
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