Pseudocholinesterase Deficiency: A Case Report and Literature Review  

作　　者：Patrick J. Hackett Tetsuro Sakai 

机构地区：[1]Department of Anesthesiology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA

出　　处：《Open Journal of Anesthesiology》2012年第4期188-194,共7页麻醉学期刊（英文）

摘　　要：A 72-year-old male underwent neck dissection and parotidectomy with facial nerve preservation. Endotracheal intubation was facilitated with succinylcholine. Prolonged muscle paralysis which was first detected after failure to stimulate the facial nerve with electrocautery, lasted five hours. Laboratory tests indicated pseudocholinesterase (PChE) deficiency. A thyroidectomy one month later was performed uneventfully using rocuronium as a muscle relaxant. Literature review revealed a total of 40 PChE deficiency cases being reported since 1956.A 72-year-old male underwent neck dissection and parotidectomy with facial nerve preservation. Endotracheal intubation was facilitated with succinylcholine. Prolonged muscle paralysis which was first detected after failure to stimulate the facial nerve with electrocautery, lasted five hours. Laboratory tests indicated pseudocholinesterase (PChE) deficiency. A thyroidectomy one month later was performed uneventfully using rocuronium as a muscle relaxant. Literature review revealed a total of 40 PChE deficiency cases being reported since 1956.

关 键 词：PROLONGED PARALYSIS SUCCINYLCHOLINE PSEUDOCHOLINESTERASE DEFICIENCY DIBUCAINE Number Case Review 

分 类 号：R73[医药卫生—肿瘤]