正颌术中恶性高热1例
Malignant hyperthermia during orthognathic surgery: a case report
作者:李越, 林洁, 罗薇, 罗楷, 罗林
Author:Li Yue, Lin Jie, Luo Wei, Luo Kai, Luo Lin
收稿日期:2024-05-20 年卷(期)页码:2024,42(6):828-828-831
期刊名称:华西口腔医学杂志
Journal Name:West China Journal of Stomatology
关键字:恶性高热,丹曲林,麻醉,七氟烷,肌红蛋白,肌酸激酶,正颌手术,
Key words:malignant hyperthermia,dantrolene,anesthesia,sevoflurane,myoglobin,creatine kinase,orthog-nathic surgery,
基金项目:
中文摘要
恶性高热是全身麻醉过程中发生的一种罕见的危及生命的高热反应,危害严重且术前诊断困难。在大多数病例报告中,恶性高热最终通过高热发生后进行的基因检测得以确诊。目前,丹曲林是治疗恶性高热唯一的特效药,可以改善病例的预后。本文报道了1例发生于正颌术中的恶性高热,因发现及时且早期应用丹曲林,最终得以治疗成功,术后生化检查也仅出现肌红蛋白和肌酸激酶的轻微升高。
英文摘要
Malignant hyperthermia is a rare life-threatening hyperthermic reaction that occurs during general anesthesia and is difficult to diagnose preoperatively. In most reported cases, final diagnoses of malignant hyperthermia were eventually confirmed by genetic testing after the episodes of hyperthermia. Dantrolene is the only specific medicine with improved treatment outcomes for malignant hyperthermia. In this work, we reported a case of malignant hyperthermia that occurred during orthognathic surgery. Malignant hyperthermia was successfully reversed because of the prompt recognition and specific treatment of dantrolene, and only slight increases in myoglobin and creatine kinase were observed postoperatively.
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