Prabhakar Hemanshu, Rath Girija P
Department of Anaesthesia Fortis Hospital, Noida India-201301.
Middle East J Anaesthesiol. 2007 Feb;19(1):225-9.
The involvement of respiratory system occurs mainly as a result of a high spinal block. Our case describes the unusual effect of mid-spinal analgesia. We encountered bronchospasm in an otherwise healthy patient undergoing inguinal hernia repair under subarachnoid block. The highest level of block was T6. The anxiety of the patient further aggravated the symptoms. This is probably the first reported incident of bronchospasm as a result of spinal anesthesia. We speculate the role of unblocked parasympathetic system in the causation of this respiratory complication.
呼吸系统受累主要是高位脊髓阻滞的结果。我们的病例描述了中胸段脊髓镇痛的异常效应。我们在一名接受蛛网膜下腔阻滞下行腹股沟疝修补术的健康患者中遇到了支气管痉挛。最高阻滞平面为T6。患者的焦虑进一步加重了症状。这可能是首例报道的因脊髓麻醉导致支气管痉挛的事件。我们推测未被阻滞的副交感神经系统在这一呼吸系统并发症的发生中所起的作用。
