一名患有难治性缺氧后肌阵挛（兰斯-亚当斯综合征）的患者接受了羟丁酸钠治疗。

A patient with intractable posthypoxic myoclonus (Lance-Adams syndrome) treated with sodium oxybate.

作者信息

Arpesella R, Dallocchio C, Arbasino C, Imberti R, Martinotti R, Frucht S J

机构信息

Department of Intensive Care and Emergency Unit, Ospedale Civile, Voghera, Italy.

出版信息

Anaesth Intensive Care. 2009 Mar;37(2):314-8. doi: 10.1177/0310057X0903700214.

DOI:10.1177/0310057X0903700214

PMID:19400500

Abstract

Posthypoxic myoclonus is a rare and devastating complication of near-fatal cardiopulmonary arrest. Despite treatment with available anti-myoclonic agents, some patients may recover cognitively but remain completely disabled by severe myoclonus. We report a 16-year-old patient with severe treatment-refractory posthypoxic myoclonus, which improved markedly with administration of the drug sodium oxybate.

摘要

缺氧后肌阵挛是近乎致命的心肺骤停的一种罕见且严重的并发症。尽管使用了现有的抗肌阵挛药物进行治疗，但一些患者可能在认知上有所恢复，但仍因严重肌阵挛而完全致残。我们报告了一名16岁患有严重难治性缺氧后肌阵挛的患者，使用羟丁酸钠治疗后病情明显改善。