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潘浩威,万海方.全身麻醉后肌阵挛1例及临床分析[J].浙江中西医结合杂志,2023,33(5):
全身麻醉后肌阵挛1例及临床分析
a case of myoclonus after general anaesthetic
投稿时间:2022-07-14  修订日期:2023-02-26
DOI:
中文关键词:  全身麻醉  肌阵挛  癫痫样现象  癫痫
英文关键词:propofol  myoclonic  seizure-like phenomena  epilepsy
基金项目:浙江省医药卫生科技计划项目(2019KY508)
作者单位E-mail
潘浩威 浙江中医药大学第二临床医学院 az761005648@icloud.com 
万海方* 杭州市红十字会医院 4417459@qq.com 
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中文摘要:
      全身麻醉期间出现四肢或全身性肌阵挛及躁动、抽搐、头颈后仰、牙关紧闭、脚弓反张等癫痫样现象(SLP)并不常见。其中肌阵挛是指一定时间内主动肌快速、反复地收缩,带有一定的节律性,不受意识控制。过去,有一些病例报告显示,不同的麻醉药物(如丙泊酚)和围手术期治疗药物(如注射用亚胺培南西司他丁钠,即泰能)可能诱发癫痫样现象。现将我院在实施全身麻醉后出现肌阵挛一例报道如下。
英文摘要:
      During general anesthesia, it is not common to encounter epileptic phenomena (SLP) such as myoclonus, convulsion, agitated movement of the limbs, arched or curved spine and head and heels that tilt backward and so on. myoclonus refers to the rapid and repeated contraction of active muscles within a certain period of time, with a certain rhythm and not controlled by consciousness.In the past, some case reports showed that different anesthetics (such as propofol) and perioperative medications (such as imipenem and cilastatin sodium for injection) may induce epileptiform phenomena. A case of myoclonus after general anesthesia in our hospital is reported as follows.
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