Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S137-40. doi: 10.4097/kjae.2010.59.S.S137. Epub 2010 Dec 31.
Carotid sinus hypersensitivity (CSH) is an exaggerated response to carotid sinus baroreceptor stimulation. Bradycardia, hypotension, and syncope are common manifestations of CSH. A 31-year-old female patient was scheduled for a robotically assisted endoscopic total thyroidectomy. No problems occurred during anesthetic induction. Sudden cardiac arrest occurred near dissection of the diseased thyroid. However, while atropine was administered, the patient soon recovered to normal sinus rhythm. Subsequent bradycardia or hypotension was not followed until the end of surgery.
颈动脉窦敏感性（CSH）是对颈动脉窦压力感受器刺激的过度反应。心动过缓、低血压和晕厥是 CSH 的常见表现。一名 31 岁女性患者拟行机器人辅助内镜甲状腺全切除术。麻醉诱导期间无异常。在病变甲状腺解剖时突然发生心脏骤停。然而，在给予阿托品时，患者很快恢复到正常窦性节律。直到手术结束，患者才出现后续的心动过缓或低血压。
