一名甲状腺功能减退得到优化且伴有偶发性低钾血症的患者麻醉后恢复延迟。
Delayed recovery from anaesthesia in a patient with optimised hypothyroidism and incidental hypokalemia.
作者信息
More Preeti, Laheri Vandana V, Waigankar Tejasi, Wagh Charchill
机构信息
Associate Professor, Department of Anaesthesiology, ESI PGI-MSR, MGM Hospital , Parel, Mumbai-12, Maharashtra, India .
Professor, Department of Anaesthesiology, ESI PGI-MSR, MGM Hospital , Parel, Mumbai-12, Maharashtra, India .
出版信息
J Clin Diagn Res. 2015 Jan;9(1):UD06-7. doi: 10.7860/JCDR/2015/10088.5410. Epub 2015 Jan 1.
Delayed recovery/awakening/ emergence can occur under anaesthesia and is multifactorial, could be drug or non drug related. Similarly, we report a case of delayed recovery in a 68-year-old patient, for laparoscopic cholecystectomy, a known case of hypertension, bronchial asthma and hypothyroidism. Preoperatively, she was optimised for her medical disorders; however, she had delayed recovery from general anaesthesia. The delayed recovery, often, would be expected in a case of hypothyroidism, however in our patient it was found to be associated with inadvertent hypokalemia.
麻醉期间可能会出现苏醒延迟，这是多因素导致的，可能与药物或非药物因素有关。同样，我们报告了一例68岁患者在腹腔镜胆囊切除术后苏醒延迟的病例，该患者患有高血压、支气管哮喘和甲状腺功能减退症。术前，她的内科疾病得到了优化治疗；然而，她全身麻醉后苏醒延迟。通常情况下，甲状腺功能减退症患者可能会出现苏醒延迟，但在我们的患者中发现这与意外低钾血症有关。
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