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[咪达唑仑在区域麻醉中用作镇静剂后出现的反常反应]

[Paradoxical reaction to midazolam after its use as a sedative in regional anesthesia].

作者信息

Martínez-Tellería A, Cano M E, Carlos R

机构信息

Departamento de Anestesiología y Reanimación, Hospital Universitario, Granada.

出版信息

Rev Esp Anestesiol Reanim. 1992 Nov-Dec;39(6):379-80.

PMID:1293657
Abstract

We report 3 cases of paradoxical reaction to midazolam after being used for sedation during regional anesthesia. The picture was characterized by a marked aggressiveness. In one case the reaction was treated with general anesthesia, whereas in the other two patients the clinical picture was rapidly reversed by administration of flumazenil. We describe the possible causative mechanisms of this reaction as well as their treatment.

摘要

我们报告了3例在区域麻醉期间使用咪达唑仑镇静后出现反常反应的病例。其表现特征为显著的攻击性。1例患者的反应采用全身麻醉进行治疗,而另外2例患者通过给予氟马西尼后临床症状迅速逆转。我们描述了这种反应可能的致病机制及其治疗方法。

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