杜氏肌萎缩症患儿吸入诱导麻醉后心脏骤停。

N F Sethna, M A Rockoff
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引用次数: 51

摘要

1例疑似杜氏肌营养不良的5岁半儿童在氟烷、氧化亚氮和氧气诱导麻醉10分钟后发生心脏骤停。未使用肌肉松弛剂。心脏骤停与高钾血症、酸中毒、肌红蛋白尿、血清肌酸磷酸激酶升高和体温升高1.6℃有关。经过90分钟的心肺复苏,孩子完全康复了。
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Cardiac arrest following inhalation induction of anaesthesia in a child with Duchenne's muscular dystrophy.

Cardiac arrest occurred in a 5 1/2-year-old child with suspected Duchenne's muscular dystrophy ten minutes following induction of anaesthesia with halothane, nitrous oxide and oxygen. No muscle relaxants were administered. The cardiac arrest was associated with hyperkalaemia, acidosis, myoglobinuria, elevated serum creatine phosphokinase and a 1.6 degrees C rise in temperature. The child made a complete recovery after receiving 90 minutes of cardiopulmonary resuscitation.

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