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咬肌挛缩和心动过速导致麻醉终止。

Masseter contracture and tachycardia causing termination of anesthesia.

作者信息

Burger B W, Malsch E, Mayer B W

出版信息

Anesth Prog. 1984 Nov-Dec;31(6):257-62.

Abstract

A careful preoperative history can be helpful in detecting problems with previous anesthetic experiences. However, it has been found that in the patients who have developed a complete syndrome of malignant hyperthermia (MH), 30% had prior uneventful general anesthesia. It is therefore of extreme importance when delivering anesthesia to recognize the signs of MH early in order to initiate correct procedures to prevent the development of a fulminating crisis of MH.

摘要

仔细的术前病史有助于发现既往麻醉经历中的问题。然而,已经发现,在已发生完全性恶性高热(MH)综合征的患者中,30%既往全身麻醉过程平稳。因此,在实施麻醉时,尽早识别MH的体征极为重要,以便启动正确的程序来预防MH暴发性危象的发生。

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本文引用的文献

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Letter: Preoperative excitement and malignant hyperthermia.信函:术前兴奋与恶性高热。
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Porcine malignant hyperthermia. I: Metabolic and physiological changes.
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