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一名镰状细胞贫血患者发生恶性高热。

Malignant hyperthermia in a patient with sickle cell anemia.

作者信息

Gürgey A, Altay C, Ozgen S

出版信息

Turk J Pediatr. 1989 Jul-Sep;31(3):245-7.

PMID:2485991
Abstract

A sixteen-year-old male with sickle cell anemia and congenital strabismus developed malignant hyperthermia a few minutes after the administration of succinylcholine, used as the general anesthetic for corrective eye surgery. The patient's hemoglobin S level was reduced to fifteen percent before the operation. He recovered uneventfully within a few hours. Increased serum creatinine phosphokinase activity and pathological changes observed in the muscle biopsy along with strabismus suggest that the patient had an inherited susceptibility to malignant hyperthermia.

摘要

一名患有镰状细胞贫血和先天性斜视的16岁男性,在用于矫正眼部手术的全身麻醉剂琥珀酰胆碱给药几分钟后发生恶性高热。术前患者血红蛋白S水平降至15%。他在几小时内顺利康复。血清肌酸磷酸激酶活性增加以及肌肉活检中观察到的病理变化与斜视表明该患者对恶性高热具有遗传易感性。

相似文献

1
Malignant hyperthermia in a patient with sickle cell anemia.一名镰状细胞贫血患者发生恶性高热。
Turk J Pediatr. 1989 Jul-Sep;31(3):245-7.
2
[A case of malignant hyperthermia, in a child, induced by an anesthetic].[一例儿童因麻醉引发的恶性高热病例]
Lav Ist Anat Istol Patol Univ Studi Perugia. 1977;37(2):71-81.
3
Malignant hyperthermia: a case report in Thai Anesthesia Incidents Study (THAI Study).恶性高热:泰国麻醉事件研究(THAI研究)中的一例病例报告
J Med Assoc Thai. 2005 Nov;88 Suppl 7:S149-52.
4
[Malignant hyperthermia. I. Observations in connection with its pathogenesis and course (author's transl)].
Anaesthesist. 1980 Feb;29(2):89-93.
5
Dominantly inherited malignant hyperthermia (MH) in the King-Denborough syndrome.
Muscle Nerve. 1992 Jun;15(6):740-2. doi: 10.1002/mus.880150619.
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[Malignant hyperthermia].[恶性高热]
Tunis Med. 2002 Jul;80(7):395-401.
7
[Masseter muscle rigidity after suxamethonium during induction and postoperative abortive malignant hyperthermia in a patient with esophageal achalasia].[一例贲门失弛缓症患者在诱导期使用琥珀胆碱后咬肌僵硬及术后恶性高热未遂]
Masui. 2004 Mar;53(3):287-90.
8
[Malignant hyperthermia. A case report (author's transl)].[恶性高热。病例报告(作者译)]
Anaesthesist. 1980 Feb;29(2):103-6.
9
Neuromyopathy in malignant hyperthermia.恶性高热中的神经肌肉病变
J Clin Psychiatry. 1978 Jan;39(1):67-71.
10
[An attack of malignant hyperthermia caused by a combination of the effects of succinylcholine, increased physical exertion and alcohol abuse].[由琥珀酰胆碱的作用、体力消耗增加和酒精滥用共同引发的恶性高热发作]
Vnitr Lek. 1999 Dec;45(12):716-9.

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