恶性高热综合征(4)
鉴别诊断
* 咬肌强直(Masseter Muscle Rigidity,MMR ):指Sch使用后,开口困难,本类病人可能发作MH,也会发生CPK增高、肌红蛋白尿、心动过速、心律失常但并非是MH。
* MMR的发生率在儿童中为1%(以 halothane 和 Sch诱导), 在斜视手术中为2.8%。一旦发现:停手术或选择安全的药物。
* 甲亢危象
* 嗜镉细胞瘤
参考文献
Rosemberg H, Seitman D, Fletcher J: Pharmacogenetics. In Barash PG , Cullen BF, Stoelting RK [eds]: Clinical Anesthesia, pp 589-613. Philadelphia, JB Lippincott, 1992.
Raines D, Chang BSP, Patafio O: Intraanesthetic problems. In Davison JK, Eckardt IIIWF, Perese DA [eds]: Clinical Anesthesia Procedures of the Massachusetts General Hospital, pp 247-272. Little Brown, 1993.
Weiss L: Malignant Hyperthermia. In Duke J, Rosemberg SG [eds]: Anesthesia Secrets, pp 320-322. Hanley & Belfus, 1996.
Morgan P, Sendensky M: Malignant Hyperthermia in C. Elegans (Hot Worms). In Early 1995 International Worm Meeting abstract 250. URL: http://www.sanger.ac.uk/abstracts95/breakout/wm95e250.htm, 百拇医药(许幸)