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报告一例外观健康的儿童,静脉注射琥珀酰胆碱后发生急性横纹肌溶解并高血钾,接着是室性心律不齐、心跳骤停、死亡.其后发现这例患儿的骨骼肌肌病未被诊断.作者提出:美国和德国的麻醉急诊报告表明:琥珀酰胆碱的严重副作用并非过去想象的那样罕见.这些副作用常于该药使用几分钟内发生突然心跳骤停.悲剧常常是在简单的手术操作(最常在耳鼻喉科手术)期间,外观健康的儿童突然死亡.由于横纹肌溶解发作突然,常规复苏措施不易成功.一些病例采取特殊措施(包括体外循环)和延长挽救时间,结果复苏成功.因为这种严重副作用无先兆的症状和体征,所以儿童使用琥珀酰胆碱必须慎重,作好紧急气管插管的准备,以保证在必要时能立即保持气道通畅.
Report a case of healthy children, acute rhabdomyolysis and hyperkalemia after intravenous injection of succinylcholine, followed by ventricular arrhythmias, cardiac arrest, death.And then found that this child’s skeletal myopathy did not Was diagnosed.The author submits: The United States and Germany anesthesia emergency report showed that: the serious side effects of succinylcholine is not as rare as in the past, these side effects often occur within a few minutes of the sudden heartbeat .Tragedy is often simple (Most often during otolaryngologic surgery), a sudden appearance of a child who is healthy appears to be difficult to succeed due to a sudden onset of rhabdomyolysis.Some cases (including cardiopulmonary bypass) and prolonged salvage time are resuscitated with special measures Succeeding Because of the absence of signs and symptoms of aura, this serious side effect requires caution in the use of succinylcholine in children to prepare for emergency endotracheal intubation to ensure immediate airway patency if necessary.