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安氟醚麻醉后出现的持续性肌阵挛收缩——一例报告

Prolonged myoclonic contractions after enflurane anaesthesia - a case report.

作者信息

Ng A T

出版信息

Can Anaesth Soc J. 1980 Sep;27(5):502-3. doi: 10.1007/BF03007053.

DOI:10.1007/BF03007053
PMID:7448613
Abstract

A healthy young woman underwent arthroscopy of the right knee, for which she was given an enflurane anaesthetic. The anaesthetic was uneventful, but she started to show myoclonic jerky movements involving multiple muscle groups, except those innervated by the cranial nerves, while recovering from the anaesthetic. These jerky movements settled to the left side of her body. It was also associated with significant right frontal and retro-orbital headache. Serial neurological assessments were entirely negative. These symptoms took more than 48 hours to disappear. She recovered from this anaesthetic complication completely. An anaesthetic complication of this nature and duration has not been reported before in association with enflurane.

摘要

一名健康的年轻女性接受了右膝关节镜检查,为此她接受了恩氟烷麻醉。麻醉过程顺利,但在从麻醉中恢复时,她开始出现涉及多个肌肉群的肌阵挛性抽搐运动,除了那些由颅神经支配的肌肉群。这些抽搐运动集中在她身体的左侧。同时还伴有严重的右侧额部和眶后头痛。一系列神经系统评估结果均为阴性。这些症状持续了48小时以上才消失。她完全从这种麻醉并发症中康复。此前尚未有与恩氟烷相关的这种性质和持续时间的麻醉并发症的报道。

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Drug-induced myoclonus: frequency, mechanisms and management.药物性肌阵挛:发生率、机制及处理
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Propofol-related convulsions.丙泊酚相关性惊厥

本文引用的文献

1
The electroencephalographic pattern during anesthesia with ethrane: effects of depth of anesthesia, PaCo2, and nitrous oxide.使用乙醚麻醉期间的脑电图模式:麻醉深度、动脉血二氧化碳分压(PaCo2)和氧化亚氮的影响。
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Can J Anaesth. 1993 Sep;40(9):805-9. doi: 10.1007/BF03009247.
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Seizure activity associated with enflurane.与安氟醚相关的癫痫发作活动。
Can Anaesth Soc J. 1981 Mar;28(2):185. doi: 10.1007/BF03007270.
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Postoperative opisthotonus and torticollis after fentanyl, enflurane, and nitrous oxide.芬太尼、恩氟烷和氧化亚氮麻醉术后出现角弓反张和斜颈。
Can J Anaesth. 1991 Oct;38(7):919-25. doi: 10.1007/BF03036975.