Matsuura Tadashi, Matsuo Youko, Satomoto Makiko, Adachi Yushi, Higuchi Hideyuki, Satoh Tetsuo
Department of Anesthesiology, National Defense Medical College, Tokorozawa 359-8513.
Masui. 2002 Mar;51(3):283-5.
A 52-year-old man without history of angina pectoris underwent emergent abdominal surgery for acute abdomen. General anesthesia was maintained with isoflurane, nitrous oxide and fentanyl. The depth of anesthesia during surgery was considered adequate for the stimuli, but the patient developed ECG abnormality repeatedly finally followed by short run. After anesthesia, we re-examined the recorded ECG and coronary spasm was strongly suspected. Fatal arrhythmia might be avoidable if the prior abnormality in ECG is properly assessed.
一名52岁无心绞痛病史的男性因急腹症接受了急诊腹部手术。采用异氟烷、氧化亚氮和芬太尼维持全身麻醉。手术期间的麻醉深度被认为对刺激而言是足够的，但患者最终反复出现心电图异常，随后出现短阵发作。麻醉后，我们重新检查了记录的心电图，强烈怀疑是冠状动脉痉挛。如果能正确评估心电图先前的异常，致命性心律失常或许是可以避免的。
