CLINICAL PRESENTATION OF SUSPECTED MALIGNANT HYPERTHERMIA DURING ANESTHESIA IN 402-PROBANDS

被引：34

作者：

ELLIS, FR

HALSALL, PJ

CHRISTIAN, AS

机构：

[1] Leeds MH Investigation Unit, University Department of Anaesthesia, St. James's University Hospital, Leeds

[2] Leeds MH Investigation Unit, University Department of Anaesthesia, St. James's University Hospital, Leeds

[3] Leeds Mh Investigation Unit, University Department of Anaesthesia, St. James's University Hospital, Leeds

来源：

ANAESTHESIA | 1990年 / 45卷 / 10期

关键词：

Hyperthermia; malignant;

D O I：

10.1111/j.1365-2044.1990.tb14566.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

As anaesthetists have become more aware of malignant hyperthermia the mortality rate has fallen, but concommitantly the number of dubious and aborted cases has increased. All probands who developed a suspected malignant hyperthermia reaction during anaesthesia and subsequently underwent muscle biopsy were classified according to the clinical presentation. A probability for malignant hyperthermia can be calculated, using the classification, for each type of clinical presentation; this varied from 0.96 to 0.07. Certain clinical features were found to be of more value as predictors than others; these included a high creatine kinase and myoglobinuria. The accuracy of prediction depends on a clear contemporaneous description of the clinical events. Copyright © 1990, Wiley Blackwell. All rights reserved

引用

页码：838 / 841

页数：4

共 12 条

[1] MALIGNANT HYPERTHERMIA - A STATISTICAL REVIEW [J].