Wu C C, Tseng C S, Shen C H, Yang T C, Chi K P, Ho W M
Department of Anesthesiology, Veterans General Hospital-Taichung, Taiwan, R.O.C.
Acta Anaesthesiol Sin. 1998 Sep;36(3):165-8.
A five year-old boy undergoing elective tonsillectomy sustained cardiac arrest following the administration of a single dose of succinylcholine during induction of anesthesia. With a 10-minute cardiopulmonary resuscitation (CPR) during which intravenous calcium gluconate, epinephrine, and sodium bicarbonate were given and DC counter shock applied, we were successful to restore cardiac activity without neurological sequelae. The cause of cardiac arrest we speculated was hyperkalemia, possibly secondary to succinylcholine-induced rhabdomyolysis. It is suggested that succinylcholine should not be used in patients with known or suspected muscular dystrophy.
一名五岁男孩在接受择期扁桃体切除术时，麻醉诱导期给予单剂量琥珀酰胆碱后发生心脏骤停。在进行了10分钟的心肺复苏（CPR），期间给予静脉注射葡萄糖酸钙、肾上腺素和碳酸氢钠，并实施直流电除颤后，我们成功恢复了心脏活动，且无神经后遗症。我们推测心脏骤停的原因是高钾血症，可能继发于琥珀酰胆碱诱导的横纹肌溶解。建议已知或疑似患有肌肉萎缩症的患者不应使用琥珀酰胆碱。
