Acute Mental Disturbance after Intrathecal Morphine in Obsteric Anesthesia - A case Report

產科麻醉中蛛網膜下腔注入morphine引發急性精神異常

黃兆德(Chao-Te Huang) ； 徐智星(Chi-Sing Hsu) ； 陳貞吟(Jen-Yin Chen) ； 葉富欽(Fuh-Cheng Yeh)

《疼痛醫學雜誌》 14卷1期 (2004/03) Pp. 38-41

摘要

於局部麻醉劑中加微小量之morphine合併注入蛛網膜下腔用來幫忙手術後止痛，已在產科麻醉領域廣為流行。一個33歲足月孕婦以0.15mg morphine加入13mg 0.5% bupivacaine作脊髓麻醉，進行剖腹生產手術。麻醉之後4小時病患出現急性精神異常表現，在接受noloxone注射數分鐘後其精神狀態迅速恢復正常。

關鍵字

脊髓鴉片類藥物 ； 急性精神異常

並列摘要

Adding a small single dose of morphine to local anesthetic agent injected simultaneously into the subarachnoid space for postoperative analgesia has prevailed in obstertric anesthesia for decades. We reported an unusual complication which developed after 4 hours with acute mental status change in a 33-year-old full term parturient scheduled for cesarean section receiving 0.15 mg preservative-free morphine and 13 mg plain 0.5% bupivacaine together for spinal anesthesia. It was promptly reversed by naloxone.

並列關鍵字

Spinal opiates ； Acute mental disturbance