全麻恢复期间的癫痫持续状态

B. Dinç, İ. Aycan, A. Toylu
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引用次数: 0

摘要

异丙酚是一种常用的麻醉剂,用于镇静、诱导和/或维持全身麻醉,通过GABA受体对兴奋性神经递质有抑制作用。尽管异丙酚因其抗惊厥特性可用于治疗癫痫持续状态,但据文献报道,异丙酚可能引起癫痫样惊厥。在这个病例报告中,一个年轻的病人在接受单剂量异丙酚注射全身麻醉后出现癫痫样抽搐。由于拔管后癫痫发作失控,患者被送往重症监护室。重症第4天患者恢复意识,癫痫发作得到控制,转神经内科。我们认为这个病例值得关注的是异丙酚与癫痫在麻醉中的关系。因此,本研究旨在引起对癫痫史患者异丙酚的关注。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Status Epilepticus During Recovery from General Anesthesia
Propofol is an anesthetic agent commonly used for sedation and induction and/or maintenance of general anesthesia and presents an inhibitory effect on the excitatory neurotransmitters through GABA receptors. Although propofol is an agent that can be used to treat status epilepticus because of its anticonvulsant property, it may cause epileptiform convulsions, as reported in the literature. In this case report, a young patient’s epileptiform convulsions after administering a single dose of propofol injection for general anesthesia are presented. Due to uncontrolled epilepsy episodes following extubation, the patient was taken to intensive care. The patient regained consciousness, and epileptic attacks were controlled on the 4th day of intensive, was taken to the neurology service. We consider that this case is noteworthy concerning the association between propofol and epilepsy in anesthesia. Thus, this study aimed to draw attention to propofol in patients with a history of epilepsy.
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