Stenberg W
Department of Periodontics, University of the Pacific School of Dentistry, San Francisco, California, USA.
Anesth Prog. 1994;41(4):100-1.
Malignant hyperthermia (MH) is a severe and often fatal disease that is triggered by exposure to the neuromuscular blocking drug succinylcholine and/or volatile general anesthetics (eg, halothane). Although all local anesthetics are now considered to be safe in malignant hyperthermia patients, some individuals still prefer not to use amide-type anesthetics. Here we report a case of a MH-susceptible patient who successfully received restorative dental treatment with transcutaneous electrical nerve stimulation. We suggest that this may be a safe alternative to consider in patients who have an aversion to chemical anesthetic agents.
恶性高热（MH）是一种严重且往往致命的疾病，由接触神经肌肉阻滞剂琥珀酰胆碱和/或挥发性全身麻醉剂（如氟烷）引发。尽管现在所有局部麻醉剂在恶性高热患者中都被认为是安全的，但一些人仍然倾向于不使用酰胺类麻醉剂。在此，我们报告一例疑似恶性高热患者成功接受经皮电神经刺激进行牙齿修复治疗的病例。我们认为，对于厌恶化学麻醉剂的患者，这可能是一种可考虑的安全替代方法。
