İKİ OLGU NEDENİYLE MALİGN HİPERTERMİ
Abstract
Bu makalede genel anestezi ile indüklenen iki MH olgusu sunuyorum ilk olguda anestezi tiyopental, süksinilkolin, N20/02 ve halotan ile sažlandl. Anestezinin sonlandlrllmasmdan hemen önce tasikardi, aritmiler, hipertansiyon ve hipertermi gelisti. Derin metabolik ve respiratuar asidoz ve CPK yüksekliäi ile tani desteklendi, Îkinci olguda ise 02 ve halotan ile indüksiyonun ardlndan süksinilkolin uygulandl Uygulamanm hemen ardmdan masseter kas spazrm ve yaygln rijidite gelisti. Derin metabolik asidoz ve CPK yüksekliži gözlendi. Tedavi % 100 02 ile hiperventilasyon, eksternal sogutma ve metabolik asidozun NaHC03 ile düzeltilmesi seklindeydi. Aynl zamanda renal fonksiyonlar desteklendi.
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References
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