短暂暴露于严重缺氧后突发 Lance-Adams 综合征而无心搏骤停——1 例报告。
Acute onset Lance-Adams syndrome following brief exposure to severe hypoxia without cardiac arrest -a case report-.
机构信息
Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Medical Research Institute, Pusan National University Hospital, Busan, Korea.
出版信息
Korean J Anesthesiol. 2013 Oct;65(4):341-4. doi: 10.4097/kjae.2013.65.4.341. Epub 2013 Oct 24.
Myoclonic status epilepticus (MSE) within the first 24 hours after cardiopulmonary resuscitation (CPR) predicts poor prognosis, enough to discontinue the treatment. In contrast, chronic MSE appearing a few days after CPR is called Lance-Adams syndrome (LAS), which is characterized by preserved intellect and a favorable prognosis. We herein report a case of LAS, which developed after a transient hypoxic event without an overt cardiac arrest due to hematoma formation in the neck after partial glossectomy. Differential diagnosis was also challenging as LAS was developed 8 hours after the hypoxic event.
心肺复苏（CPR）后 24 小时内出现肌阵挛性癫痫持续状态（MSE）预示着预后不良，足以停止治疗。相比之下，CPR 几天后出现的慢性 MSE 称为 Lance-Adams 综合征（LAS），其特征为智力正常且预后良好。本文报告了一例 LAS 病例，该病例发生在因部分舌切除术导致颈部血肿形成后短暂缺氧事件中，无明显心脏骤停。由于缺氧事件发生 8 小时后出现 LAS，因此鉴别诊断也具有挑战性。
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