Mitterschiffthaler G, Maurhard U, Huter O, Brezinka C
Anaesthesiol Reanim. 1989;14(3):175-8.
It is reported on an abnormally prolonged action of vecuronium in a female patient with known neurofibromatosis (Morbus von Recklinghausen). In this female patient an increased sensitivity to vecuronium (0.06 mg/kg) was observed during anaesthesia for Caesarean section. A 100% block lasted 50 minutes and the neuromuscular recovery from 75% block to 25% block amounted to 25 minutes. This prolonged neuromuscular block can also be due to overdosing, relative hypovolaemia during arterial hypertension and the previous application of suxamethonium.
据报道,在一名已知患有神经纤维瘤病(冯·雷克林豪森病)的女性患者中,维库溴铵出现了异常延长的作用。在该女性患者剖宫产麻醉期间,观察到其对维库溴铵(0.06mg/kg)的敏感性增加。100%阻滞持续了50分钟,神经肌肉从75%阻滞恢复到25%阻滞用时25分钟。这种神经肌肉阻滞的延长也可能是由于用药过量、动脉高血压期间的相对血容量不足以及先前使用过琥珀胆碱所致。