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剖宫产术中患者蛛网膜下腔阻滞下给予咪达唑仑后类肌阵挛性不自主运动完全缓解:一例病例报告

Complete resolution of myoclonus-like involuntary movements under subarachnoid block after midazolam administration in a patient undergoing cesarean section: a case report.

作者信息

Nakamoto Takahiro, Hirota Kiichi, Iwai Teppei, Shingu Koh

机构信息

Department of Anesthesiology, Kansai Medical University, Hirakata, Japan.

出版信息

Korean J Anesthesiol. 2015 Apr;68(2):193-5. doi: 10.4097/kjae.2015.68.2.193. Epub 2015 Mar 30.

Abstract

Involuntary movement during and after neuraxial anesthesia, such as spinal and epidural anesthesia, is rarely observed. In this report, we describe a case of myoclonus-like involuntary movement of the upper extremities in a patient undergoing a planned repeat cesarean section under spinal anesthesia with bupivacaine that completely subsided after administration of 2 mg of midazolam. The myoclonus-like movement did not recur or cause any apparent neurological side effects.

摘要

在椎管内麻醉期间及之后,如脊髓麻醉和硬膜外麻醉时,很少观察到不自主运动。在本报告中,我们描述了1例在布比卡因脊髓麻醉下行计划性再次剖宫产的患者出现上肢肌阵挛样不自主运动的病例,在给予2 mg咪达唑仑后该运动完全消失。肌阵挛样运动未复发,也未引起任何明显的神经系统副作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ead/4384410/9e53ad052dbc/kjae-68-193-g001.jpg

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