Shigematsu Kenji, Shono Shinjiro, Hamada Takamitsu, Higa Kazuo
Department of Anesthesiology, Fukuoka University School of Medicine, Fukuoka.
Masui. 2005 Jul;54(7):788-90.
A 61-year-old man with Shy-Drager Syndrome underwent partial pulmonary lobectomy under general anesthesia combined with thoracic epidural anesthesia. The blood pressure decreased from 140/ 100 mmHg to 80/50 mmHg after thoracic epidural anesthesia. It increased after intravenous ephedrine. The blood pressure decreased when he was returned to the supine position postoperatively. It did not increase as expected with intravenous ephedrine. Intravenous etilefrine promptly raised the blood pressure. There was no postoperative cardiorespiratory complications.
一名患有夏伊-德雷格综合征的61岁男性在全身麻醉联合胸段硬膜外麻醉下接受了部分肺叶切除术。胸段硬膜外麻醉后血压从140/100 mmHg降至80/50 mmHg。静脉注射麻黄碱后血压升高。术后患者返回仰卧位时血压下降。静脉注射麻黄碱后血压未如预期升高。静脉注射去氧肾上腺素迅速升高了血压。术后无心肺并发症。
