Department of Anesthesiology, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama-machi, Yufu, Oita, 879-5593, Japan.
J Anesth. 2010 Feb;24(1):107-9. doi: 10.1007/s00540-009-0824-6. Epub 2009 Dec 29.
A 73-year-old male patient with a past history of hypertension and atrial premature contraction underwent endoscopic restoration of the left bubonocele. Sinus rhythm was confirmed by preoperative electrocardiography, but paroxysmal atrial flutter developed when abdominoscopy was started. Continuous administration of landiolol hydrochloride at a dose of 0.005 mg kg(-1) min(-1) after a loading dose of 0.04 mg kg(-1) min(-1) for 1 min resulted in control of heart rate without a decrease in blood pressure. Atrial flutter was converted to sinus rhythm 3 min after the start of administration. Landiolol hydrochloride was administered continuously until the morning of the following day and sinus rhythm was maintained postoperatively.
一位 73 岁男性患者，既往有高血压和房性早搏病史，接受了内镜左腹股沟疝修补术。术前心电图确认窦性节律，但开始腹腔镜检查时出现阵发性房性扑动。在负荷剂量 0.04mg/kg/min 持续输注 1 分钟后，给予盐酸拉贝洛尔 0.005mg/kg/min 的持续输注，心率得到控制，血压无下降。给药后 3 分钟房性扑动转为窦性节律。盐酸拉贝洛尔持续输注直至次日早晨，并维持术后窦性节律。
