使用短效苯二氮䓬类药物降低直立位立体定向乳腺活检期间晕厥发作的风险。

The use of a short-acting benzodiazepine to reduce the risk of syncopal episodes during upright stereotactic breast biopsy.

作者信息

James J J, Wilson A R M, Evans A J, Burrell H, Cornford E J, Hamilton L J

机构信息

Breast Institute, Nottingham City Hospital, Hucknall Road, Nottingham NG5 1PB, UK.

出版信息

Clin Radiol. 2005 Mar;60(3):394-6. doi: 10.1016/j.crad.2004.09.003.

DOI:10.1016/j.crad.2004.09.003

PMID:15710145

Abstract

The use of sublingual lorazepam provides a safe and effective means of reducing the risk of syncopal episodes during upright stereotactic breast biopsy. Sublingual lorazepam, 2-4mg, was received by 19 women undergoing a total of 20 stereotactic procedures. Of 14 women who had previously fainted during upright stereotactic biopsy, 13 had a successful repeat biopsy following administration of sublingual lorazepam. All 4 women who received lorazepam for significant anxiety had successful biopsies. Stereotactic guided wire localization also was performed in 2 cases.

摘要

在直立位立体定向乳腺活检过程中，使用舌下含服劳拉西泮是降低晕厥发作风险的一种安全有效的方法。19名女性接受了总共20次立体定向手术，她们均舌下含服了2 - 4毫克劳拉西泮。在14名先前在直立位立体定向活检时曾晕厥过的女性中，有13名在服用舌下含服劳拉西泮后成功进行了重复活检。所有4名因严重焦虑而服用劳拉西泮的女性活检均成功。另外有2例还进行了立体定向导丝定位。