An unusual presentation of postoperative malignant hyperthermia
An unusual presentation of postoperative malignant hyperthermia
复制标题
术后恶性高热的异常表现
DOI：
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发表时间：
2019
期刊：
影响因子：
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通讯作者：
Z. Rafique
中科院分区：
文献类型：
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作者：
Hina S. Lodhi;Z. Rafique
介绍
恶性高热（MH）是一种由基因决定的危及生命的临床综合征，涉及骨骼肌的高代谢。易感人群在暴露于某些吸入性麻醉剂和肌肉松弛剂琥珀胆碱后会引发这种疾病。临床表现从肌肉僵硬到高烧不等，发病时间不同。我们报告一个六个月大的婴儿在全身麻醉下接受唇裂手术。麻醉过程很顺利，但婴儿的体温在恢复过程中迅速上升。用注射控制温度。丹曲林。我们在已发表的文献中未找到类似的病例报告。
INTRODUCTION
Malignant hyperthermia (MH) is a genetically determined life-threatening clinical syndrome of hypermetabolism involving the skeletal muscle. It is triggered in susceptible people after being exposed to certain inhalational anesthetic agents and the muscle relaxant suxamethonium. Clinical picture ranges from muscle rigidity to raging temperature with variation in time of onset. We present a case of six months old child who underwent cleft lip surgery under general anesthesia (GA). The course of anesthesia was uneventful but the baby’s body temperature rapidly spiked during recovery. The temperature was brought under control with inj. dantroline. We could not find similar case report in the published literature.