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一名长QT综合征患者在神经肌肉阻滞逆转过程中发生心室颤动。

Ventricular fibrillation related to reversal of the neuromuscular blockade in a patient with long QT syndrome.

作者信息

Pleym H, Bathen J, Spigset O, Gisvold S E

机构信息

Department of Anesthesia, Regional and University Hospital, Trondheim, Norway.

出版信息

Acta Anaesthesiol Scand. 1999 Mar;43(3):352-5. doi: 10.1034/j.1399-6576.1999.430319.x.

DOI:10.1034/j.1399-6576.1999.430319.x
PMID:10081545
Abstract

The long QT syndrome (LQTS) is associated with syncopal attacks or even sudden death at a young age due to ventricular fibrillation. We report a patient with an undiagnosed LQTS who had an episode of cardiac arrest during the final part of general anesthesia, immediately after the drugs for reversal of the neuromuscular blockade were given. We suggest that the administration of glycopyrronium might have been the provoking factor in this patient.

摘要

长QT综合征(LQTS)与年轻时因室颤导致的晕厥发作甚至猝死有关。我们报告了一名未确诊的长QT综合征患者,在全身麻醉接近尾声时,即在给予神经肌肉阻滞逆转药物后立即发生了心脏骤停。我们认为,给予格隆溴铵可能是该患者的诱发因素。

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