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皮肌炎患儿的麻醉管理

Anaesthetic management of a child with dermatomyositis.

作者信息

Johns R A, Finholt D A, Stirt J A

出版信息

Can Anaesth Soc J. 1986 Jan;33(1):71-4. doi: 10.1007/BF03010912.

DOI:10.1007/BF03010912
PMID:3948051
Abstract

A two years, ten months old male with dermatomyositis was anaesthetized with enflurane, nitrous oxide and oxygen by mask followed by intravenous succinylcholine to facilitate endotracheal intubation. The evoked thumb twitch in response to succinylcholine demonstrated an abnormal, short-lived contracture. The depression, duration and return to control of muscle twitch tension and a transient rise in serum potassium concentration followed a normal pattern.

摘要

一名两岁十个月大的皮肌炎男性患者,通过面罩吸入安氟醚、氧化亚氮和氧气进行麻醉,随后静脉注射琥珀酰胆碱以利于气管插管。对琥珀酰胆碱的拇内收肌反应诱发的抽搐表现为异常的、短暂的挛缩。肌肉抽搐张力的降低、持续时间和恢复至对照水平以及血清钾浓度的短暂升高均呈正常模式。

相似文献

1
Anaesthetic management of a child with dermatomyositis.皮肌炎患儿的麻醉管理
Can Anaesth Soc J. 1986 Jan;33(1):71-4. doi: 10.1007/BF03010912.
2
The dose-response relationship of mivacurium chloride in humans during nitrous oxide-fentanyl or nitrous oxide-enflurane anesthesia.在氧化亚氮-芬太尼或氧化亚氮-安氟醚麻醉期间,氯化米库氯铵在人体中的剂量-反应关系。
Anesthesiology. 1989 Jan;70(1):31-5. doi: 10.1097/00000542-198901000-00008.
3
Enflurane inhibits muscle fasciculations caused by suxamethonium in children.恩氟烷可抑制小儿琥珀胆碱引起的肌束震颤。
Acta Anaesthesiol Scand. 1986 Aug;30(6):444-6. doi: 10.1111/j.1399-6576.1986.tb02449.x.
4
Neuromuscular effects of enflurane, alone and combined with d-Tubocurarine, pancuronium, and succinylcholine, in man.安氟醚单独及与筒箭毒碱、潘库溴铵和琥珀酰胆碱合用时对人体的神经肌肉作用。
Anesthesiology. 1975 Feb;42(2):173-8. doi: 10.1097/00000542-197502000-00010.
5
Is intramuscular mivacurium an alternative to intramuscular succinylcholine?肌内注射米库氯铵能否替代肌内注射琥珀酰胆碱?
Anesthesiology. 1994 Feb;80(2):320-5. doi: 10.1097/00000542-199402000-00012.
6
Nitrous oxide potentiates succinylcholine neuromuscular blockade in humans.氧化亚氮可增强琥珀酰胆碱对人体神经肌肉的阻滞作用。
Anesth Analg. 1991 Jan;72(1):18-21. doi: 10.1213/00000539-199101000-00004.
7
The onset of ablation of the evoked adductor pollicis muscle twitch in children: a clinical perspective.
Can J Anaesth. 1988 Nov;35(6):576-80. doi: 10.1007/BF03020343.
8
Effects of succinylcholine at the masseter and adductor pollicis muscles in adults.琥珀酰胆碱对成人咬肌和拇内收肌的作用。
Anesth Analg. 1989 Aug;69(2):158-62.
9
Neuromuscular effects of atracurium during halothane-nitrous oxide and enflurane-nitrous oxide anesthesia in humans.阿曲库铵在人体氟烷 - 氧化亚氮和恩氟烷 - 氧化亚氮麻醉期间的神经肌肉效应。
Anesthesiology. 1985 Jul;63(1):16-9. doi: 10.1097/00000542-198507000-00003.
10
Comparison of thiopental and midazolam on the neuromuscular responses to succinylcholine or pancuronium in humans.硫喷妥钠和咪达唑仑对人体琥珀酰胆碱或泮库溴铵神经肌肉反应的比较。
Anesth Analg. 1983 Jan;62(1):75-7.

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Cureus. 2024 Oct 8;16(10):e71056. doi: 10.7759/cureus.71056. eCollection 2024 Oct.
2
Anesthetic Considerations of Sporadic Inclusion Body Myositis in an Elderly Man With Orthopedic Trauma.一名患有骨科创伤的老年男性散发性包涵体肌炎的麻醉注意事项
Anesth Pain Med. 2016 Feb 13;6(2):e35600. doi: 10.5812/aapm.35600. eCollection 2016 Apr.
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Anesthetic management of a pregnant female posted for caesarean section with biopsy proven polymyositis.

本文引用的文献

1
THREE TYPES OF PULMONARY INVOLVEMENT IN POLYMYOSITIS.多发性肌炎的三种肺部受累类型。
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2
Dermatomyositis; report of 26 cases in children with a discussion of endocrine therapy in 13.皮肌炎;26例儿童病例报告及13例内分泌治疗探讨
Pediatrics. 1953 Oct;12(4):447-66.
3
Plasma potassium after halothane--suxamethonium induction in children.氟烷-琥珀胆碱诱导麻醉后儿童的血浆钾水平
一名经活检证实为多发性肌炎的孕妇行剖宫产术的麻醉管理。
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Juvenile dermatomyositis: a clinical and immunologic study.青少年皮肌炎:一项临床与免疫学研究。
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Prognosis in childhood dermatomyositis.
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Interstitial lung disease in polymyositis and dermatomyositis: analysis of six cases and review of the literature.多发性肌炎和皮肌炎中的间质性肺疾病:6例分析及文献复习
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Polymyositis and dermatomyositis (first of two parts).多发性肌炎和皮肌炎(两部分中的第一部分)
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8
Myotonia and neuromuscular blocking agents.肌强直与神经肌肉阻滞剂。
Anesthesiology. 1978 Jul;49(1):44-8. doi: 10.1097/00000542-197807000-00014.
9
Computer-assisted analysis of 153 patients with polymyositis and dermatomyositis.153例多发性肌炎和皮肌炎患者的计算机辅助分析。
Medicine (Baltimore). 1977 Jul;56(4):255-86. doi: 10.1097/00005792-197707000-00001.