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恶性高热易感性筛查。

Screening for malignant hyperthermia susceptibility.

作者信息

Anderson I L, Rawstron R E, Dunlop D J

出版信息

N Z Med J. 1980 Jun 11;91(661):417-9.

PMID:6930029
Abstract

In vitro pharmacological testing of isolated muscle strips surgically removed under general anaesthesia from 10 members of a known MH family enabled identification of three MH positive individuals. Diagnosis of MH susceptibility was based on increased sensitivity to low concentrations of caffeine and the presence of halothane-induced contractures in MH susceptible muscle. Dantrolene sodium 15 mg/l completely prevented halothane-induced contractures in two muscle strips from one of the MH positive cases. The successful anaesthetic management of known MH patients is described, as is the successful management of a hyperthermic episode during recovery in one of the MH positive cases.

摘要

对在全身麻醉下从一个已知恶性高热(MH)家族的10名成员身上手术切除的离体肌肉条进行体外药理学测试,从而识别出3名MH阳性个体。MH易感性的诊断基于对低浓度咖啡因的敏感性增加以及MH易感肌肉中存在氟烷诱导的挛缩。15毫克/升的丹曲林钠完全预防了一名MH阳性病例的两条肌肉条中氟烷诱导的挛缩。文中描述了已知MH患者的成功麻醉管理,以及一名MH阳性病例在恢复过程中高热发作的成功处理。

相似文献

1
Screening for malignant hyperthermia susceptibility.恶性高热易感性筛查。
N Z Med J. 1980 Jun 11;91(661):417-9.
2
Na(+)-Ca2+ exchange influences halothane and caffeine contractures of malignant hyperthermic skeletal muscle.钠钙交换影响恶性高热骨骼肌的氟烷和咖啡因挛缩。
Res Commun Chem Pathol Pharmacol. 1992 Aug;77(2):253-6.
3
Porcine malignant hyperthermia: effect of dantrolene sodium on in-vitro halothane-induced contraction of susceptible muscle.猪恶性高热:丹曲林钠对体外氟烷诱导的易感肌肉收缩的影响。
Anesthesiology. 1976 Jan;44(1):57-61.
4
Malignant hyperthermia in dogs.犬恶性高热
J Am Vet Med Assoc. 1991 Mar 15;198(6):989-94.
5
[The action of ketamine on muscle contractile behavior. In vitro studies on the musculature of subjects susceptible to malignant hyperthermia].[氯胺酮对肌肉收缩行为的作用。对恶性高热易感者肌肉组织的体外研究]
Anaesthesist. 1989 Dec;38(12):681-5.
6
[Effect of chlorocresol vs caffeine on muscle contracture in malignant hyperthermia susceptible patients].[对氯间甲酚与咖啡因对恶性高热易感患者肌肉挛缩的影响]
Harefuah. 1997 Jun 15;132(12):839-41, 911.
7
[Diagnosis of susceptibility to malignant hyperthermia in children].[儿童恶性高热易感性的诊断]
Arch Fr Pediatr. 1990 Jun-Jul;47(6):421-4.
8
Halothane-caffeine contracture testing in neuromuscular diseases.神经肌肉疾病中的氟烷-咖啡因挛缩试验
Muscle Nerve. 1988 May;11(5):453-7. doi: 10.1002/mus.880110507.
9
The Israeli Diagnostic Center for Malignant Hyperthermia: 7-years' accumulated experience.以色列恶性高热诊断中心:7年积累经验
Isr J Med Sci. 1997 Oct;33(10):643-7.
10
Malignant hyperthermia: effects of halothane on the surface membrane.恶性高热:氟烷对表面膜的影响
Muscle Nerve. 1989 Mar;12(3):178-83. doi: 10.1002/mus.880120303.

引用本文的文献

1
Dantrolene--in vitro studies in malignant hyperthermia susceptible (MHS) and normal skeletal muscle.丹曲林——对恶性高热易感(MHS)和正常骨骼肌的体外研究。
Can Anaesth Soc J. 1984 Mar;31(2):130-54. doi: 10.1007/BF03015252.
2
Dantrolene.丹曲林
Can Anaesth Soc J. 1984 Jan;31(1):61-75. doi: 10.1007/BF03011484.
3
Effects of midazolam on directly stimulated muscle biopsies from control and malignant hyperthermia positive patients.咪达唑仑对来自对照患者和恶性高热阳性患者的直接刺激肌肉活检组织的影响。
Can Anaesth Soc J. 1984 Jul;31(4):377-81. doi: 10.1007/BF03015405.