对一名因过量输注高渗盐水而患有创伤性急性硬膜下血肿的儿童进行紧急麻醉以清除血肿。
Emergency anesthesia for evacuating a traumatic acute subdural hemorrhage in a child overdosed with hypertonic saline.
作者信息
Goonasekera Chulananda, Bedford James, Harpreet Sodhi, Giombini Mariangela, Sheikh Asme
机构信息
Department of Anaesthetics, King's College Hospital, Denmark Hill, London SE5 9RS, UK.
出版信息
J Pediatr Neurosci. 2016 Oct-Dec;11(4):328-330. doi: 10.4103/1817-1745.199478.
Abstract
A previously healthy 1-year-old child with a traumatic acute subdural hemorrhage received 10 times higher dose of hypertonic saline inadvertently immediately before surgery. This case report describes deviations in fluid management needed to alleviate salt toxicity and its adverse effects during surgery under anesthesia perioperatively. The child made an uneventful recovery with no evident residual damage at follow-up.
摘要
一名此前健康的1岁儿童因创伤性急性硬膜下出血在手术前不慎接受了高出10倍剂量的高渗盐水。本病例报告描述了围手术期麻醉下手术过程中为减轻盐中毒及其不良反应所需的液体管理偏差。该儿童术后恢复顺利，随访时无明显残留损伤。
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