Case Report
Isoflurane Induced Malignant Hyperthermia in a Patient with Glucose 6-Phosphate Dehydrogenase Deficiency and Growth Hormone Abuse
Table 1
MH-associated laboratory finding in the 1st day of hospitalization.
| | Normal range | Before operation | In the end of operation | 30 minutes after the end of operation | 1 hour after the end of operation | 2 hours after the end of operation | 6 hours after the operation |
| PH | 7.35–7.45 | | 6.81 | 7.18 | 7.33 | 7.38 | 7.47 | PCO2 | 35–45 mmHg | | >150 | 84 | 44.8 | 42.3 | 31.6 | HCO3− | 22–28 milliequivalents per liter (mEq/L) | | 4.5 | 31.4 | 24.1 | 25 | 23.4 | BEecf | 0 ± 4 mEq/L | | −12.4 | −2.8 | −1.9 | −0.3 | −0.4 | K+ | 3.6–5.2 millimoles per liter (mmol/L) | | | 6 | 5.6 | | | Ca | 8.6–10.3 mg/dL | | | 15.4 | 7.9 | | 8.2 | WBC | 4,500–11,000 WBCs per microliter | 7000 | | | 19400 | | | CKMB | 5–25 IU/L | | | | 543 | | 646 | LDH | 140–280 units per liter (U/L) | | | | | | 1309 | CPK | 39–308 U/L in males | | | | | | 4942 | AST | 7–56 units per liter (U/L) | | | | 136 | | | ALT | 7–56 units per liter (U/L) | | | | 184 | | | Alk-P | 44–147 international units per liter (IU/L) | | | | 828 | | |
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