Morgenthaler K, Larsen B, Grundmann U, Silomon M
Klinik für Anaesthesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum des Saarlandes, Homburg/Saar.
Anaesthesist. 2005 May;54(5):450-4. doi: 10.1007/s00101-005-0821-6.
Delayed awakening after general anaesthesia is in the majority of cases due to prolonged effects of anaesthetic drugs. However, intracerebral processes are also associated with disturbances of consciousness. Here, we report a case of a female patient who developed an intracerebral haemorrhage because of an arteriovenous malformation during routine surgery. This shows that in the case of delayed awakening after general anaesthesia the possibility of an intracerebral process should be considered early even after routine surgery.
大多数情况下,全身麻醉后苏醒延迟是由于麻醉药物的作用持续时间延长所致。然而,脑内病变也与意识障碍有关。在此,我们报告一例女性患者,在常规手术期间因动静脉畸形发生脑内出血。这表明,在全身麻醉后苏醒延迟的情况下,即使是常规手术后,也应尽早考虑脑内病变的可能性。