Najafi Atabak, Akbari Hooshang, Khajavi Mohammad Reza, Etezadi Farhad
Department of Anesthesiology and Critical Care, Tehran University of Medical Sciences, Sina Hospital, Tehran, Iran.
Saudi J Anaesth. 2013 Oct;7(4):464-6. doi: 10.4103/1658-354X.121049.
The case is a 35-year-old man who underwent spinal anesthesia for emergency strangulated inguinal hernia repair. About five minutes after 3 ml intrathecal drug injection, the patient suffered respiratory distress, bradycardia, hypotension and loss of consciousness. The patient was rapidly intubated and crystalloid infusion and epinephrine drip were established. Thereafter, he was admitted in intensive care unit. Search for the cause revealed us that 3 ml of magnesium sulfate (50%) was injected mistakenly for spinal anesthesia. Two days later, he was extubated and on the fifth day, he was discharged from the hospital without an obvious evidence of complication.
该病例为一名35岁男性，因急诊绞窄性腹股沟疝修补术接受了脊髓麻醉。鞘内注射药物3毫升后约五分钟，患者出现呼吸窘迫、心动过缓、低血压和意识丧失。患者迅速接受气管插管，并建立了晶体液输注和肾上腺素滴注。此后，他被收入重症监护病房。病因调查发现，误将3毫升50%的硫酸镁用于脊髓麻醉。两天后，他拔除了气管插管，第五天出院，无明显并发症迹象。
