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篇名
Sevoflurane麻醉中發生痙攣
並列篇名
Seizure Attack during Partial Hepatectomy in a Living Donor for Liver Transplantation under Sevoflurane Anesthesia
作者 潘健成馮仕端鄭隆賓吳世銓
中文摘要
一名23歲男性進行肝移植捐肝手術,全身麻醉以fentanyl, propofol作為引導藥物,sevoflurane做維持麻醉劑。氣管內管放置及手術中之肌肉鬆弛均以rocuronium達成。在手術進行十一小時後有輕度發熱並發生全身性痙攣。在積極處理後手術順利完成,病人於恢復室中清醒並順利拔除氣管內管,並無任何不適之主訴。其原因在此做一探討。
英文摘要
We report a case of generalized convulsion during partial hepatectomy for the purpose of organ donation for syngenesioplastic liver transplantation under sevoflurane anesthesia. This 23-year-old male Taiwanese living donor had no history of epilepsy. Anesthesia was inducted with fentanyl, propofol and rocuronium was used to facilitate endotracheal intubation. Sevoflurane in the mixture of oxygen and air and rocuronium were used for maintenance of anesthesia. Generalized convulsion with mild fever was observed 11 hours after the start of surgery when the surgeons happened to take a recess pending the removal of the recipient's liver. Convulsive episode subsided after aggressive management. Another 3 hours were required to complete the operation and the patient woke up in the postanesthesia room uneventfully.
起訖頁 123-126
關鍵詞 痙攣肝臟移植SeizuresSevofluraneLiver Transplantation
刊名 麻醉學雜誌  
期數 200606 (44:2期)
出版單位 台灣麻醉醫學會
該期刊-上一篇 全身麻醉插管下使用人工口咽氣道後發生之舌神經損傷
該期刊-下一篇 縱膈瘤之孕婦經麻醉誘導後氣道完全阻塞之病例報告
 

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