Prolonged Paralysis Associated with Succinylcholine -A Case Report

琥珀膽引起手術後延長麻痹之病例報告

郭建宏(Chien-Hung Kuo) ； 譚炳恒(Ping-Heng Tan) ； 陳皆吉(Jieh-Jie Chen) ； 彭至賢(Chih-Hsien Peng) ； 李啟禎(Chi-Chen Lee) ； 鍾漢軍(Han-Chium Chung) ； 曾清楷(Chin-Kai Tseng)

《Acta Anaesthesiologica Sinica》 38卷4期 (2000/12) Pp. 229-232

https://doi.org/10.6955/AAS.200012.0229

摘要

延長麻痹是琥珀膽罕見的一個併發症。我們報告一位手汗症患者，接受面罩式全身麻醉，施行經胸腔內視鏡交感神經節切除術，病人於術後發生延長麻痹的并發症。因病人的血清中Pseudocholinesterase濃度偏低，我們确認此并發症與琥珀膽有關。文中將描述整個過程并討論造成麻醉後延遲甦醒的可能原因及其治療方法。

關鍵字

併發症 ； 延長麻痹 ； 藥物 ； 琥珀膽

並列摘要

Prolonged paralysis is a rare complication of succinylcholine. We report a case of palmar hyperhidrosis who underwent transthoracic endoscopic sympathetic ganglionectomy under general anesthesia with a facemask developed prolonged paralysis following the operation. The prolonged paralysis supposedly caused by intraoperative use of succinylcholine was recognized and confirmed by laboratory examination which showed low pseudocholinesterase activity. In this report, we describe the course of the event and discuss the causes of delayed awakening associated with anesthesia and its management.

並列關鍵字

Complication ； prolonged paralysis ； Agent ； succinylcholine