Quiniou C, Pandin P, Renard M, Lambert M, Vandesteene A
Service d'anesthésie-réanimation, cliniques universitaires de Bruxelles, hôpital Erasme, université Libre de Bruxelles, Bruxelles, Belgique.
Ann Fr Anesth Reanim. 2004 Aug;23(8):822-6. doi: 10.1016/j.annfar.2004.05.014.
A clinical case of spontaneous ventricular dysrythmia in a 47-year-old patient scheduled for ankle osteosynthesis is reported. During initial peripheral vein canulation, a spontaneous ventricular tachycardia occurred and disappeared spontaneously in about 3 min. It was decided to proceed with surgery. Thirty minutes after spinal anaesthesia, asystole occurred. Normal sinus rhythm was rapidly restored after basic life support. There was no harmful consequence for the patient. He had a history of repetitive monomorphic ventricular tachycardia (Gallavardin type). The aetiologies of asystole after spinal anaesthesia are well known and will be not discussed in the text. Although the origin of the asystole is unclear in this case, the literature on Gallavardin's syndrome is reviewed, showing that a prolonged and complex preoperative assessment is not mandatory in this syndrome.
报道了一例计划进行踝关节骨固定术的47岁患者发生自发性室性心律失常的临床病例。在最初进行外周静脉置管时，发生了自发性室性心动过速，并在约3分钟后自行消失。决定继续进行手术。脊髓麻醉30分钟后，出现心搏停止。经过基本生命支持后，窦性心律迅速恢复。对患者没有造成不良后果。他有反复发生单形性室性心动过速（加拉瓦尔丹型）的病史。脊髓麻醉后心搏停止的病因是众所周知的，本文将不再讨论。尽管该病例中心搏停止的起源尚不清楚，但对加拉瓦尔丹综合征的文献进行了综述，表明对于该综合征，术前无需进行长时间的综合评估。
