Mayahara Taku, Goto Maria, Sato Mikako, Kanazawa Takeshi, Isomine Shinji, Nakajima Hiroshi, Sakaida Koji
Department of Anesthesiology and Critical Care Medicine, Funabashi Municipal Medical Center, Funabashi, Japan.
J Anesth. 2004;18(4):304-6. doi: 10.1007/s00540-004-0258-0.
A 71-year-old woman with a history of persistent atrial fibrillation underwent clipping of a ruptured cerebral artery aneurysm. During the surgery her cardiac rhythm was atrial fibrillation and the ventricular rate increased to 130 beats.min(-1). Administration of landiolol was started with 1-min loading infusion at 0.125 mg.kg(-1).min(-1) and continuous infusion at 0.04 mg.kg(-1).min(-1), which was effective in controlling the ventricular rate without causing hypotension. Approximately 120 min after the landiolol infusion was started, the atrial fibrillation was converted to sinus rhythm. Her sinus rhythm was maintained until she left the operating room, even after discontinuation of landiolol.
一名有持续性心房颤动病史的71岁女性接受了破裂脑动脉动脉瘤夹闭术。手术期间，她的心律为心房颤动，心室率增至130次/分钟。开始给予兰地洛尔，以0.125mg·kg⁻¹·min⁻¹的速度进行1分钟负荷输注，随后以0.04mg·kg⁻¹·min⁻¹的速度持续输注，这有效地控制了心室率且未引起低血压。在开始输注兰地洛尔约120分钟后，心房颤动转为窦性心律。即使在停用兰地洛尔后，她的窦性心律一直维持到离开手术室。
