Yanagidani T, Kometani Y, Tsuji M, Nonoue T, Kosaka Y
Department of Anesthesia, Tottori Prefectural Central Hospital.
Masui. 1991 Mar;40(3):468-71.
A 58-year-old man suffering from esophageal cancer was scheduled for radical resection and reconstruction of the esophagus. Immediately after the start of the operation, with the patient under general anesthesia, cardiac arrest occurred. The operation was immediately discontinued and closed chest heart massage was started. As the patient did not respond, open chest massage was initiated. Cardiac arrest can be caused by any one of a number of factors. This case was suspected to have had a coronary artery spasm. It took a total of 100 minutes to resuscitate the patient. But resuscitation was successful without any resulting neurological damage. This was attributed to appropriate open chest massage. If a case of cardiac arrest due to any coronary artery disease does not respond to the usual cardiopulmonary resuscitation, we should consider open chest massage.
一名58岁的食管癌男性患者计划接受食管癌根治性切除及食管重建术。手术开始后不久，患者处于全身麻醉状态时发生了心脏骤停。手术立即停止，开始进行闭胸心脏按压。由于患者没有反应，于是开始进行开胸按压。心脏骤停可能由多种因素中的任何一种引起。该病例怀疑发生了冠状动脉痉挛。总共花费了100分钟才使患者复苏成功。但复苏成功且未造成任何神经损伤。这归功于适当的开胸按压。如果因任何冠状动脉疾病导致的心脏骤停病例对常规心肺复苏无反应，我们应考虑进行开胸按压。
