星状神经节阻滞期间的闭锁综合征
Locked-in syndrome during stellate ganglion block.
作者信息
Chaturvedi A, Dash Hh
机构信息
Department of Neuroanaesthesiology, N.S. Centre, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
出版信息
Indian J Anaesth. 2010 Jul;54(4):324-6. doi: 10.4103/0019-5049.68376.
Abstract
Intra-arterial injection of a local anaesthetic during stellate ganglion blockade may cause life-threatening complications. The usual complications are apnoea, unconsciousness and seizures. However, occasionally an unusual complication, 'locked-in' syndrome, has also been reported. In this syndrome the patients remain conscious despite their inability to move, breathe or speak. Here we describe a patient who developed features akin to the locked-in syndrome along with severe hypotension and bradycardia, after an injection of only 2 ml of lignocaine during a stellate ganglion block.
摘要
星状神经节阻滞期间动脉内注射局部麻醉药可能会导致危及生命的并发症。常见的并发症有呼吸暂停、意识丧失和癫痫发作。然而，偶尔也有报道称出现一种不寻常的并发症——“闭锁”综合征。在这种综合征中，患者尽管无法移动、呼吸或说话，但仍保持清醒。在此，我们描述一名患者，在星状神经节阻滞期间仅注射2毫升利多卡因后，出现了类似于闭锁综合征的症状，同时伴有严重低血压和心动过缓。
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