Kernan Scott, Tobias Joseph D
University of Missouri, School of Medicine University of Missouri, Columbia, Missouri, USA.
Saudi J Anaesth. 2010 Jan;4(1):23-7. doi: 10.4103/1658-354X.62611.
Postural orthostatic tachycardia syndrome (POTS) is a disorder characterized by postural tachycardia in combination with orthostatic symptoms without associated hypotension. Symptoms include light-headedness, palpitations, fatigue, confusion, and anxiety, which are brought on by assuming the upright position and usually relieved by sitting or lying down. Given the associated autonomic dysfunction that occurs with POTS, various perioperative concerns must be considered when providing anesthetic care for such patients. We present an adolescent with POTS who required anesthetic care during posterior spinal fusion for the treatment of scoliosis. The potential perioperative implications of this syndrome are discussed.
体位性直立性心动过速综合征（POTS）是一种以体位性心动过速并伴有直立性症状但无相关低血压为特征的疾病。症状包括头晕、心悸、疲劳、意识模糊和焦虑，这些症状在采取直立姿势时出现，通常通过坐下或躺下缓解。鉴于POTS会伴有自主神经功能障碍，在为这类患者提供麻醉护理时，必须考虑各种围手术期问题。我们报告一例患有POTS的青少年，其在脊柱后路融合术治疗脊柱侧弯期间需要麻醉护理。本文讨论了该综合征潜在的围手术期影响。
