Okada H, Satoh A, Hara T, Matsukawa N
Department of Orthodontics, Ohu University School of Dentistry.
Ou Daigaku Shigakushi. 1990 Jul;17(2):198-202.
WPW (Wolff-Parkinson-White) syndrome is a rare disease characterized by electro-cardiographic anomalies associated with a history of recurrent supraventricular tachycardia. ECG abnormalities consist of a short PR interval and a broad QSR complex with a slurred upstroke. We experienced general anesthesia in a 29-year-old male with this syndrome for operation of maxillary cyst. Physical laboratory examinations of this patient revealed his conditions of within normal limits with the exception of ECG findings. After premedication with atropine, hydroxyzine and pethilorfan intramuscularly one hour prior to anesthesia, anesthesia was induced with intravenous thiopental 325 mg and the trachea was intubated with intravenous succinylcholine 40 mg. Thereafter anesthesia was maintained with 2.0% enflurane and 67% nitroxide in oxygen under controlled ventilation. During 1 hour operation, vital signs remained stable and paroxysmal tachycardia was not recognized on the ECG. The postoperative course was uneventful.
预激综合征（Wolff-Parkinson-White综合征）是一种罕见疾病，其特征为心电图异常并伴有反复发作的室上性心动过速病史。心电图异常包括PR间期缩短以及QRS综合波增宽且起始部有顿挫。我们为一名患有该综合征的29岁男性进行上颌囊肿手术时实施了全身麻醉。该患者的体格检查结果显示，除心电图表现外，其身体状况均在正常范围内。麻醉前1小时，肌肉注射阿托品、羟嗪和哌替啶进行术前用药，随后静脉注射325毫克硫喷妥钠诱导麻醉，并静脉注射40毫克琥珀酰胆碱进行气管插管。此后，在控制通气的情况下，用2.0%的安氟醚和67%的氧化亚氮与氧气混合维持麻醉。在1小时的手术过程中，生命体征保持稳定，心电图未发现阵发性心动过速。术后恢复过程顺利。
