Goraksha Shwetal, Bidaye Sneha, Gajendragadkar Supriya, Bapat Jitendra, Butani Manju
Department of Anaesthesiology, P.D. Hinduja Hospital and Research Centre, Mumbai, India.
Indian J Anaesth. 2010 Nov;54(6):562-4. doi: 10.4103/0019-5049.72648.
A 14-year-old autistic boy presented with acute gastroenteritis and hypotension. The electrocardiogram showed a ventricular fibrillation rhythm - he went into cardiorespiratory arrest and was immediately resuscitated. On investigation, the electrocardiogram showed a partial right bundle branch block with a "coved" pattern of ST elevation in leads v(1)-v(3). A provisional diagnosis of Brugada syndrome was made, for which an automated implantable cardioverter defibrillator (AICD) implantation was advised. Although the automated implantable cardioverter defibrillator implantation is usually performed under sedation, because this was an autistic child, he needed general anaesthesia. We performed the procedure uneventfully under general anaesthesia and he was discharged after a short hospital stay.
一名14岁的自闭症男孩因急性肠胃炎和低血压前来就诊。心电图显示为心室颤动节律——他陷入心肺骤停并立即接受了复苏。经检查，心电图显示部分右束支传导阻滞，V(1)-V(3)导联出现“穹隆型”ST段抬高。初步诊断为Brugada综合征，建议植入自动植入式心脏复律除颤器（AICD）。虽然自动植入式心脏复律除颤器植入术通常在镇静状态下进行，但由于这是一名自闭症儿童，他需要全身麻醉。我们在全身麻醉下顺利完成了手术，他在短暂住院后出院。
