经先前无事故手术史后，在施行经迷路听神经瘤手术期间发生恶性高热。
Malignant Hyperthermia During Translabyrinthine Acoustic Neuroma Surgery After Previous Uneventful Surgery.
机构信息
Division of Neurotology, Department of Otolaryngology, Louisiana State University Health Sciences Center, Baton Rouge and New Orleans, Louisiana.
Department of Anesthesia, Our Lady of the Lake Regional Medical Center, Baton Rouge, Louisiana.
出版信息
Otol Neurotol. 2019 Jul;40(6):e643-e645. doi: 10.1097/MAO.0000000000002241.
OBJECTIVE
Review current literature and guidelines for malignant hyperthermia in the context of neurotologic surgery.
PATIENT
A case of malignant hyperthermia during vestibular schwannoma surgery, in a patient previously exposed to anesthesia.
INTERVENTIONS
Excision of vestibular schwannoma, acute management of malignant hyperthermia.
MAIN OUTCOME MEASURES
Knowledge of the basic pathophysiology, clinical manifestations, and treatment protocols for malignant hyperthermia.
RESULTS
Rapid termination of the procedure and appropriate modifications in surgical technique permitted expeditious treatment of malignant hyperthermia and prevented its lethality.
CONCLUSIONS
Malignant hyperthermia is a rare and lethal condition that may arise in neurotologic surgery, even in patients who have previously received general anesthesia. The neurotologic surgeon has a role in early recognition and expeditious termination of surgery to help reduce its mortality.
目的
在耳神经外科手术的背景下，回顾恶性高热的现有文献和指南。
患者
一名前庭神经鞘瘤手术中发生恶性高热的病例，该患者之前曾接受过麻醉。
干预措施
前庭神经鞘瘤切除术，恶性高热的急性处理。
主要观察指标
了解恶性高热的基本病理生理学、临床表现和治疗方案。
结果
快速终止手术，并对手术技术进行适当修改，从而迅速治疗恶性高热，并防止其致命性。
结论
恶性高热是一种罕见且致命的疾病，即使是以前接受过全身麻醉的患者，也可能在耳神经外科手术中发生。神经耳科医生在早期识别和迅速终止手术方面发挥作用，有助于降低死亡率。
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