一名在牙科手术全身麻醉期间疑似恶性高热的儿童。

A child of suspected malignant hyperthermia during general anesthesia for dental surgery.

作者信息

Chen L W, Chang W K, Tsou M Y, Feng C K, Or C H, Lui P W, Lee T Y

机构信息

Department of Anesthesiology, Potz Provincial General Hospital, Taiwan, R.O.C.

出版信息

Acta Anaesthesiol Sin. 1996 Sep;34(3):167-71.

PMID:9084542

Abstract

Malignant hyperthermia is clinically an uncommon disorder characterized by acute hypercatabolic reactions in muscles in response to the triggering effects of certain drugs mainly used during anesthesia or to physical or emotional stress. We present a pediatric patient with multiple caries who was suspected to contract malignant hyperthermia while underwent the operative procedure of comprehensive restoration. Sinus tachycardia, hyperthermia, hypercapnia, metabolic acidosis, hyperkalemia and hypercalcemia developed unexpectedly during the operation. Fortunately, the patient survived the episode with early recognition and prompt management.

摘要

恶性高热在临床上是一种罕见的疾病，其特征是肌肉对主要在麻醉期间使用的某些药物的触发作用或对身体或情绪应激产生急性分解代谢反应。我们报告一名患有多处龋齿的儿科患者，在接受全面修复手术过程中疑似患上恶性高热。手术期间意外出现窦性心动过速、高热、高碳酸血症、代谢性酸中毒、高钾血症和高钙血症。幸运的是，患者通过早期识别和及时处理而度过了这一阶段。