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[使用甲苯胺蓝后出现心室颤动:腋路臂丛神经阻滞麻醉导致循环停止]

[Ventricular fibrillation with tolonium chloride: axillary brachial plexus anesthesia led to cessation of circulation].

作者信息

Radke O C, Hoffmann C, Klut I, Koch T

机构信息

Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden, Deutschland.

出版信息

Anaesthesist. 2011 May;60(5):446-50. doi: 10.1007/s00101-010-1834-3.

Abstract

A 22-year-old patient underwent surgery for a glass wound incision of the hand and anesthesia was carried out using an axillary brachial plexus block with prilocaine. Following surgery the patient developed methemoglobinemia which was treated with tolonium chloride. After administration of the drug the sinus rhythm changed into ventricular fibrillation. The current treatment options of methemoglobinemia will be discussed.

摘要

一名22岁患者因手部玻璃割伤行手术,采用丙胺卡因腋路臂丛阻滞麻醉。术后患者发生高铁血红蛋白血症,用亚甲蓝治疗。给药后窦性心律转变为心室颤动。将讨论目前高铁血红蛋白血症的治疗选择。

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