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非典型假性胆碱酯酶:一份临床报告。

Atypical pseudocholinesterase: a clinical report.

作者信息

Lear E, Jadwat C, Bough L, Fernandez P

出版信息

Anesth Analg. 1976 Mar-Apr;55(2):243-6. doi: 10.1213/00000539-197603000-00025.

Abstract

The safe conduct of anesthesia demands careful evaluation of the previous experience of patients under anesthesia and surgical operation, as well as that of their families. Untoward responses that may recur with subsequent anesthetic procedures should be documented and patients informed, as the need dictates. Two cases of prolonged apnea following single intubating doses of succinylcholine could not have been predicted by the patient's preanesthetic history. As a result of these problems, the authors recommend more careful preanesthetic history-taking with reference to patients' prior anesthetic experiences.

摘要

麻醉的安全实施需要仔细评估患者及其家属既往的麻醉和手术经历。对于后续麻醉过程中可能再次出现的不良反应,应做好记录,并根据需要告知患者。两例单次给予琥珀酰胆碱插管剂量后出现长时间呼吸暂停的病例,无法根据患者麻醉前的病史预测。鉴于这些问题,作者建议更仔细地询问患者既往麻醉经历以了解麻醉前病史。

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