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[恶性高热作为犬麻醉的一种并发症]

[Malignant hyperthermia as a complication of anesthesia in the dog].

作者信息

Otto K

机构信息

Chirurgischen Tierklinik, Ludwig-Maximilians-Universität München.

出版信息

Tierarztl Prax. 1992 Oct;20(5):519-22.

PMID:1440599
Abstract

A moderate malignant hyperthermia developed in a Labrador Retriever anaesthetized with isoflurane for a femoral shaft fracture repair. Signs of malignant hyperthermia included progressive increases in PETCO2 and rectal temperature up to 39.8 degrees C, tachycardia, cyanosis, and elevated serum levels of potassium, inorganic phosphorus, AST, CK and alkaline phosphatase. Treatment initiated in the early recovery period consisted of hyperventilation with 100% oxygen, stomach lavage with iced water, body surface cooling, and intravenous administration of cold isotonic saline solution. Cooling was continued until the rectal temperature had dropped to 37.3 degrees C. After treatment the dog recovered uneventfully. Clinical signs, pathophysiology, therapy, prevention of malignant hyperthermia and its association with other disorders are discussed.

摘要

一只拉布拉多猎犬在接受异氟烷麻醉进行股骨干骨折修复手术时发生了中度恶性高热。恶性高热的体征包括呼气末二氧化碳分压(PETCO2)和直肠温度逐渐升高,最高达到39.8摄氏度,心动过速,发绀,以及血清钾、无机磷、天冬氨酸转氨酶(AST)、肌酸激酶(CK)和碱性磷酸酶水平升高。在早期恢复期开始的治疗包括用100%氧气进行过度通气、用冰水洗胃、体表降温以及静脉输注冷的等渗盐溶液。降温持续进行直到直肠温度降至37.3摄氏度。治疗后这只狗顺利康复。文中讨论了恶性高热的临床体征、病理生理学、治疗、预防及其与其他疾病的关联。

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