Department of Anesthesiology and Pain Medicine, Gyeongsang National University School of Medicine, Jinju, Korea.
Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S194-6. doi: 10.4097/kjae.2010.59.S.S194. Epub 2010 Dec 31.
An endoscopic third ventriculostomy was performed in a 55-year-old man with an obstructive hydrocephalus due to aqueductal stenosis. The vital signs and laboratory studies upon admission were within the normal limits. Anesthesia was maintained with nitrous oxide in oxygen and 6% desflurane. The patient received irrigation with approximately 3,000 ml normal saline during the procedure. Anesthesia and operation were uneventful. However, he developed postoperative hyperventilation in the recovery room, and arterial blood gas analysis revealed acute respiratory alkalosis. We report a rare respiratory alkalosis that occurred after an endoscopic third ventriculostomy.
一位 55 岁的男性因导水管狭窄导致梗阻性脑积水，进行了内镜第三脑室造瘘术。入院时生命体征和实验室检查均在正常范围内。麻醉维持使用氧化亚氮和 6%七氟醚。手术过程中患者大约接受了 3000 毫升生理盐水冲洗。麻醉和手术过程均无异常。然而，他在恢复室出现术后过度通气，动脉血气分析显示急性呼吸性碱中毒。我们报告一例内镜第三脑室造瘘术后罕见的呼吸性碱中毒。
