Okuda T, Sugahara S, Oshima T, Sato T
Department of Anesthesiology and Operating Service, National Defense Medical College Hospital, Tokorozawa.
Masui. 2000 Apr;49(4):425-7.
We report a 72 year old male patient for craniotomy with ECG abnormality occurring on admission to the operating room. His preoperative ECG showed normal sinus rhythm without ST-T change and T wave abnormality. On admission to the operating room, negative T wave was noted on the ECG monitor. Therefore, we applied isosorbide dinitrate tape after the induction of anesthesia. When the dura mater was opened, subarachnoid hemorrhage was noticed. Intraoperative pathological examination revealed a glioblastoma multiforme. The tumor bled from inside and outside. The perioperative T wave abnormality was probably due to subarachnoid hemorrhage or bleeding from the tumor itself. The T wave abnormality disappeared on the 10th postoperative day.
我们报告一例72岁男性患者，在进入手术室时出现心电图异常并行开颅手术。他术前心电图显示窦性心律正常，无ST-T改变及T波异常。进入手术室时，心电图监护仪显示T波倒置。因此，我们在麻醉诱导后应用了硝酸异山梨酯贴剂。打开硬脑膜时，发现蛛网膜下腔出血。术中病理检查显示多形性胶质母细胞瘤。肿瘤内外均有出血。围手术期T波异常可能是由于蛛网膜下腔出血或肿瘤本身出血所致。术后第10天T波异常消失。
