琥珀酰胆碱诱发儿童咬肌痉挛：恶性高热的挛缩试验：6例报告

Masseter spasm induced by succinylcholine in children: contracture testing for malignant hyperthermia: report of six cases.

作者信息

Flewellen E H, Nelson T E

出版信息

Can Anaesth Soc J. 1982 Jan;29(1):42-9. doi: 10.1007/BF03007947.

Abstract

We evaluated six boys who had developed isolated masseter muscle spasm following intravenous succinylcholine. All were receiving halothane by inhalation.l In vitro muscle contracture tests utilizing halothane and caffeine were performed. Four of the six boys had contracture response similar to those of malignant hyperthermia susceptible patients. Rigidity following succinylcholine should prompt the clinician to consider malignant hyperthermia but has been associated with other myopathic conditions as discussed.

摘要

我们评估了6名在静脉注射琥珀酰胆碱后出现孤立性咬肌痉挛的男孩。所有人均在接受氟烷吸入麻醉。进行了利用氟烷和咖啡因的体外肌肉挛缩试验。6名男孩中有4名的挛缩反应与恶性高热易感患者相似。琥珀酰胆碱注射后出现的强直应促使临床医生考虑恶性高热，但如前所述，它也与其他肌病情况有关。