Leclerc C, Genuit-Leclerc L, Citerne O
Service de chirurgie ambulatoire, clinique de Miséricorde, 15, fossés Saint-Julien, 14000 Caen, France.
Ann Fr Anesth Reanim. 2008 Nov;27(11):949-52. doi: 10.1016/j.annfar.2008.08.012. Epub 2008 Nov 13.
An 80-year-old man had to be operated for cutaneous neoplasia. Local anaesthesia with sedation was required. Preoperative examination revealed a pronounced albeit asymptomatic bradycardia. Electrocardiogram showed a complete atrioventricular block. Use of a pacemaker was discussed. Finally, surgery was performed uneventfully after transient reversal of the anticholinesterasic effects of galantamine administered in Alzheimer's disease control over several hours with atropine.
一名80岁男性因皮肤肿瘤需要进行手术。手术需要局部麻醉并辅以镇静。术前检查发现患者虽无症状，但存在明显的心动过缓。心电图显示为完全性房室传导阻滞。讨论了是否使用起搏器。最后，在使用阿托品对加兰他敏（用于控制阿尔茨海默病）数小时的抗胆碱酯酶作用进行短暂逆转后，手术顺利完成。
