异氟烷用于癫痫持续状态的治疗。

Isoflurane for the management of status epilepticus.

作者信息

Meeke R I, Soifer B E, Gelb A W

机构信息

Department of Anaesthesia, University Hospital, University of Western Ontario, London, Canada.

出版信息

DICP. 1989 Jul-Aug;23(7-8):579-81. doi: 10.1177/1060028089023007-809.

DOI:10.1177/1060028089023007-809

PMID:2763580

Abstract

When conventional therapy fails in status epilepticus, general anesthesia is recommended. We present our experience with isoflurane, an inhalational anesthetic, in the management of a patient with refractory status epilepticus. The seizures were controlled with relatively small concentrations of isoflurane. Hypotension, the only adverse effect of isoflurane, was managed with fluid and dopamine infusions.

摘要

当传统疗法对癫痫持续状态无效时，建议采用全身麻醉。我们介绍了使用吸入性麻醉剂异氟烷治疗一名难治性癫痫持续状态患者的经验。使用相对低浓度的异氟烷即可控制癫痫发作。异氟烷唯一的不良反应是低血压，通过静脉输注液体和多巴胺进行处理。