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[经尿道前列腺切除术脊髓麻醉期间心脏骤停。附病例报告]

[Heart arrest during spinal anesthesia for transurethral resection of the prostate. Apropos of a case].

作者信息

Robillart A, Zeisser M, Schmidt C, Bertrand P, Dupeyron J P

机构信息

Département d'Anesthésiologie, CHRU, Strasbourg.

出版信息

Cah Anesthesiol. 1990 Nov;38(5):335-8.

PMID:1704812
Abstract

We report a cardiac arrest in a 66 years healthy patient during a spinal anesthesia for a transurethral resection of prostate. The accident occurred one hour and fifteen minutes after the subarachnoidal injection of hyperbaric lidocaine 80 mg, at the end of surgery, but before any postural change. We attempt to elucidate the surgical or anesthesiologic precipitating factors that lead to the cardiac arrest in this patient. However, there was no real etiology that formally explained the genesis of the accident. This case is to add to a series of recently published accidents that occurred during spinal anesthesia in healthy patients.

摘要

我们报告了一例66岁健康患者在经尿道前列腺切除术脊髓麻醉期间发生心脏骤停的病例。该意外发生在蛛网膜下腔注射80mg高压利多卡因后1小时15分钟,手术结束时,但在任何体位改变之前。我们试图阐明导致该患者心脏骤停的手术或麻醉诱发因素。然而,没有真正的病因能正式解释该意外的发生。该病例补充了一系列最近发表的健康患者脊髓麻醉期间发生的意外事件。

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