Queen Elizabeth Hospital Birmingham, Birmingham, UK
Russells Hall Hospital, Dudley, UK.
BMJ Case Rep. 2022 Apr 8;15(4):e247953. doi: 10.1136/bcr-2021-247953.
Malignant hyperthermia (MH) is a rare but deleterious anaesthetic emergency that has an autosomal dominant inheritance. Successful management of the MH-susceptible fetus hinges on early suspicion and preparation. This case highlights the importance of knowing paternal anaesthetic risk as well as maternal in the parturient population. Paternal anaesthetic history is paramount in this situation, especially with a normal maternal risk, and preparation of the patient, staff and equipment is at the centre of the peripartum management of these patients.
恶性高热(MH)是一种罕见但有害的麻醉急症,具有常染色体显性遗传。对 MH 易感胎儿的成功管理取决于早期的怀疑和准备。本病例强调了了解产妇人群中父系麻醉风险和母系麻醉风险的重要性。在这种情况下,父系麻醉史至关重要,尤其是在母亲的风险正常的情况下,对患者、医护人员和设备的准备是这些患者围产期管理的核心。