Lee Y M, Fountain S W
Medical Specialist Centre, Melaka, Malaysia.
Singapore Med J. 1997 Jul;38(7):300-1.
We report a case of cardiac arrest due to hyperkalaemia following administration of suxamethonium during a procedure to facilitate a change of endotracheal tube in a septic patient. The cause of this rare but fatal complication is briefly described and discussed. In view of this, suxamethonium should be used with great caution in patients with burns and other forms of physical injury, in a number of nervous system disorders, and in critically ill patients requiring prolonged ITU care.
我们报告了一例在为一名脓毒症患者更换气管插管的操作过程中，因使用琥珀胆碱后发生高钾血症导致心脏骤停的病例。对这一罕见但致命并发症的病因进行了简要描述和讨论。鉴于此，在烧伤患者、其他形式身体损伤患者、多种神经系统疾病患者以及需要在重症监护病房长期护理的危重症患者中，应极其谨慎地使用琥珀胆碱。
