咖啡因-氟烷骨骼肌收缩试验用于恶性高热的明确诊断.pdf

ACTA ACADEM IAE MED ICINAE SIN ICAE # # - 王颖林, 郭向阳, 徐仲煌, 黄宇光, 罗爱伦 , 100730 : : 010 : luoailun@ pum h1 n : - ( CHCT ) (MH ) 1 MH , ; ( CK), CHCT DNA -1 (R YR1 ) 2~ 1839~ 46 90~ 104 CK , 30, MH , , CHCT , MH R YR1 6 724CT ( 16 724C T ), 2 206 ( p1T 2 206M ) CHCTMH : -; ; ; : R65513 : A : 1000-503X ( 2008) 02-0182-05 Application ofCaffeine-HalothaneContracture Test in the Diagnosis ofMalignantHypertherm ia WANG Y ing-lin, GUO X iang-yang, XU Zhong-huang, HUANG Yu-guang, LUO A -i lun D epartm ent of Anesthesiology, PUM C H ospital, CAM S and PUMC, Beijing 100730, China C orrespond ing author: LUO A i-lun Tel: 010 E-ma il: luoailun@pum h1 n ABSTRACT: bjective To explore the appli ation of affeine-halothane ontra ture test ( CHCT) in the onfirm ation ofmalignant hypertherm ia (MH ) 1 M ethods One patient who underw ent rad i al gastre tomy presented w ith lini alman ifestations ofMH during routine intravenous-inhalation anesthesia pro ess1 Isoflurane inhalation and the operation were eased mi m ediately and em ergen y m anagem ent approa hes su h as physi al oo ling therapy were taken1 M eanw hile, the levels of serum reatine k inase ( CK) , serum myog lob in, and ur-i nary myoglob in w ere exam ined a