Summary
We have reported a case of delayed malignant hyperthermia occurring in a young healthy female. The temperature rose to 112°F, skeletal muscle rigidity, ventricular tachycardia and hypotension, respiratory and metabolic acidosis, hyperkalaemia followed by hypokalaemia, serum enzyme elevations, and a moderate hypocalcaemia were all observed. Successful treatment consisted of vigorous cooling, hyperventilation, 100 per cent oxygen, procaine amide, sodium bicarbonate, insulin with glucose, mannitol, solucortef, calcium gluconate, potassium chloride. meperidine, promethazine, and chlorpromazine.
Résumé
Nous rapportons un cas d’hyperthermie maligne a retardement; il s’agissait d’une jeune femme en santé. La température s’est élevée jusqu’à 112°F; elle a présenté de la rigidité des muscles squelettiques, de la tachycardie ventriculaire et de l’hypotension, de l’acidose respiratoire et métabolique, de l’hyperkaliémie suivie d’hypokaliémie, de l’élévation des enzymes sériques et une légère hypocalcémie. Le traitement a été un succès; il a consisté en un vigoureux refroidissement, de l’hyperventilation, de l’oxygène à 100 pour cent, de la procaïne amine, du bicarbonate de sodium, de l’insulin et du glucose, du mannitol, du solucortef, du gluconate de calcium, du chlorure de potassium, de la mépéridine, de la promethazine, et de la chlorpromazine.
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Beldavs, J., Small, V., Cooper, D.A. et al. Postoperative malignant hyperthermia: A case report. Canad. Anaesth. Soc. J. 18, 202–212 (1971). https://doi.org/10.1007/BF03025451
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DOI: https://doi.org/10.1007/BF03025451