Eerola M, Baer G
Prakt Anaesth. 1976 Jun;11(3):160-5.
The most important facts for the anesthesiologist about porphyria are presented on the basis of an own case. The acute abdomen with unusual accompanying symptoms (tachycardia, neurologic and psychic disorders) should rise suspicion of possible porphyria. The clinical diagnosis is most important for the anesthesiologist, because barbiturates may cause fatalities in 50% of the cases. Halothane should be avoided, too. Every suspected case should be carefully investigated including the family. The symptomatic therapy of the severe porphyria-attack is presented in short.
基于一个实际病例，介绍了麻醉医生需要了解的关于卟啉病的最重要事实。伴有异常伴随症状（心动过速、神经和精神障碍）的急腹症应引起对可能的卟啉病的怀疑。临床诊断对麻醉医生最为重要，因为巴比妥类药物在50%的病例中可能导致死亡。氟烷也应避免使用。每一个疑似病例都应包括其家族在内进行仔细调查。简要介绍了严重卟啉病发作的对症治疗方法。
