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一名杜氏肌营养不良症患者在异氟烷麻醉后发生心脏骤停。

Cardiac arrest after isoflurane anaesthesia in a patient with Duchenne's muscular dystrophy.

作者信息

Chalkiadis G A, Branch K G

机构信息

James Paget Hospital, Department of Anaesthesia, Great Yarmouth, Norfolk.

出版信息

Anaesthesia. 1990 Jan;45(1):22-5. doi: 10.1111/j.1365-2044.1990.tb14497.x.

DOI:10.1111/j.1365-2044.1990.tb14497.x
PMID:2316833
Abstract

An 8-year-old boy known to have Duchenne's muscular dystrophy suffered a cardiac arrest 10 minutes after he regained consciousness after isoflurane anaesthesia for an orchidopexy procedure. Resuscitation was successful 2 hours after the start of external cardiac compression and after correction of hyperkalaemia and the administration of dantrolene. He later developed myoglobinuria elevated creatine kinase and a metabolic and respiratory acidosis. He demonstrated a delayed increase in rectal temperature.

摘要

一名已知患有杜氏肌营养不良症的8岁男孩,在因睾丸固定术接受异氟烷麻醉后苏醒10分钟后发生心脏骤停。在开始体外心脏按压、纠正高钾血症并给予丹曲林2小时后复苏成功。他后来出现肌红蛋白尿、肌酸激酶升高以及代谢性和呼吸性酸中毒。他的直肠温度出现延迟升高。

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引用本文的文献

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Caudal epidural block instead of general anesthesia in an adult with Duchenne muscular dystrophy.杜氏肌营养不良症成年患者采用骶管硬膜外阻滞而非全身麻醉。
Local Reg Anesth. 2018 Oct 15;11:75-80. doi: 10.2147/LRA.S180867. eCollection 2018.
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Arch Dis Child. 1994 Jan;70(1):71. doi: 10.1136/adc.70.1.71-c.