Matta B F, Magee P
Sir Humphry Davy Department of Anaesthesia, Bristol Royal Infirmary.
Can J Anaesth. 1992 Dec;39(10):1067-8. doi: 10.1007/BF03008377.
A case is described of complete heart block during spinal anaesthesia for Caesarean section in a fit 23 yr-old-woman. This developed shortly after the institution of the block, with the height of the block below T5 and in the absence of hypotension. The patient was resuscitated successfully with vagolytic and alpha-agonist drugs. A Wenckebach block persisted for a short period postoperatively. The importance of instituting monitoring before the beginning of anaesthesia and the immediate availability of atropine and alpha-agonists before the initiation of spinal anaesthesia is stressed.
本文描述了一例23岁健康女性在剖宫产脊髓麻醉期间发生完全性心脏传导阻滞的病例。阻滞建立后不久即出现，阻滞平面低于T5，且无低血压。患者通过使用抗迷走神经药物和α-激动剂成功复苏。术后短时间内出现了文氏阻滞。强调了在麻醉开始前进行监测以及在脊髓麻醉开始前立即准备好阿托品和α-激动剂的重要性。
