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新生儿芬太尼诱发胸壁强直:一例报告

Fentanyl-induced chest wall rigidity in a neonate: a case report.

作者信息

Wells S, Williamson M, Hooker D

机构信息

North Carolina Baptist Hospitals, Inc., Winston-Salem.

出版信息

Heart Lung. 1994 May-Jun;23(3):196-8.

PMID:8039989
Abstract

Fentanyl-induced chest wall rigidity occurred in an 8-week-old infant girl recovering from surgical repair of coarctation of the aorta. The neonate received 30 minutes of a moderate dose continuous infusion of fentanyl before chest wall rigidity developed. Association of the chest wall rigidity with the fentanyl infusion resulted in the appropriate intervention of narcotic reversal and prevented irreversible hypoxic sequelae. Patients receiving fentanyl, even at moderate doses, are at risk for the development of chest wall rigidity.

摘要

一名8周大的女婴在接受主动脉缩窄手术修复后恢复过程中出现了芬太尼诱导的胸壁强直。该新生儿在胸壁强直出现前接受了30分钟的中等剂量芬太尼持续输注。胸壁强直与芬太尼输注的关联导致了适当的麻醉逆转干预,并预防了不可逆的缺氧后遗症。接受芬太尼治疗的患者,即使是中等剂量,也有发生胸壁强直的风险。

相似文献

1
Fentanyl-induced chest wall rigidity in a neonate: a case report.新生儿芬太尼诱发胸壁强直:一例报告
Heart Lung. 1994 May-Jun;23(3):196-8.
2
Chest wall rigidity in two infants after low-dose fentanyl administration.两名婴儿在给予低剂量芬太尼后出现胸壁僵硬。
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Morphine-induced muscle rigidity in a term neonate.足月新生儿吗啡诱导的肌肉强直
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Chest wall rigidity during infusion of fentanyl in a two-month-old infant after heart surgery.心脏手术后两个月大婴儿输注芬太尼期间的胸壁僵硬。
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Ineffective ventilation during conscious sedation due to chest wall rigidity after intravenous midazolam and fentanyl.静脉注射咪达唑仑和芬太尼后因胸壁僵硬导致清醒镇静期间通气无效。
Anesth Prog. 1990 Jan-Feb;37(1):46-8.
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Fentanyl-induced chest wall rigidity.芬太尼导致的胸壁僵硬。
Chest. 2013 Apr;143(4):1145-1146. doi: 10.1378/chest.12-2131.
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An atypical presentation of fentanyl rigidity following administration of low dose fentanyl in a child during intraoperative period.一名儿童在术中使用低剂量芬太尼后出现芬太尼所致强直的非典型表现。
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Fentanyl chest wall rigidity syndrome--a case report.芬太尼胸壁强直综合征——病例报告
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Another complication of opiate-induced chest wall rigidity.
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Post-operative rigidity after fentanyl administration.给予芬太尼后的术后僵硬。
Eur J Anaesthesiol. 1986 Sep;3(5):413-6.

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Evaluation of fentanyl disposition and effects in newborn piglets as an experimental model for human neonates.
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[Induction of anaesthesia and intubation in children with a full stomach. Time to rethink!].[饱胃儿童的麻醉诱导与插管。是时候重新思考了!]
Anaesthesist. 2007 Dec;56(12):1210-6. doi: 10.1007/s00101-007-1281-y.