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一例硬膜外镇痛期间发生恶性高热的病例。

A case of malignant hyperthermia during epidural analgesia.

作者信息

Klimanek J, Majewski W, Walencik K

出版信息

Anaesth Resusc Intensive Ther. 1976 Apr-Jun;4(2):143-5.

PMID:970624
Abstract

Malignant hyperthermia syndrome developed during epidural analgesia in 25-year-old female to be operated on for haemorrhoidal varices. After premedication with diazepam and atropine epidural analgesia was started with lidocaine 300 mg and bupivacaine 50 mg. Signs and symptoms of malignant hyperthermia syndrome appeared 30 min. later, with muscle rigidity, hyperpyrexia 41.5degrees C, and loss of consciousness. Treatment alleviating the syndrome was applied as indicated in this complication. Full recovery was obtained.

摘要

一名25岁女性因内痔静脉曲张拟行手术,在硬膜外镇痛期间发生恶性高热综合征。在给予地西泮和阿托品进行术前用药后,开始用300毫克利多卡因和50毫克布比卡因进行硬膜外镇痛。30分钟后出现恶性高热综合征的体征和症状,表现为肌肉强直、体温高达41.5摄氏度以及意识丧失。按照该并发症的处理方法进行了缓解综合征的治疗,患者完全康复。

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