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七氟醚诱发的成人及儿童心律失常。

Sevoflurane-induced arrhythmia in an adult and a child.

作者信息

Kundra Pankaj, Vinodhadevi V, Arimanickam G

机构信息

Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.

出版信息

J Anaesthesiol Clin Pharmacol. 2011 Apr;27(2):269-71. doi: 10.4103/0970-9185.81844.

DOI:10.4103/0970-9185.81844
PMID:21772698
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3127317/
Abstract

When inhalational induction is indicated, sevoflurane is the most popular choice in both children and adults. Higher inspired concentrations of sevoflurane can cause adverse cardiac arrhythmias that are seen to disappear once the agent is discontinued. We report the occurrence of isorhythmic atrioventricular dissociation and junctional rhythm with absent P waves during sevoflurane anaesthesia in an adult and a child, respectively.

摘要

当需要采用吸入诱导时,七氟醚是儿童和成人中最常用的选择。较高浓度吸入七氟醚可导致不良心律失常,停用该药物后心律失常现象会消失。我们分别报告了一名成人和一名儿童在七氟醚麻醉期间出现等节律性房室分离和交界性心律且P波消失的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fae/3127317/e52f40d7d8b8/JOACP-27-269-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fae/3127317/e52f40d7d8b8/JOACP-27-269-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fae/3127317/e52f40d7d8b8/JOACP-27-269-g001.jpg

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2
[Isorhythmic dissociation during sevoflurane anesthesia].
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3
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本文引用的文献

1
[Isorhythmic dissociation during sevoflurane anesthesia].
Masui. 2009 May;58(5):645-8.
2
Hemodynamic stability under general anesthesia in carotid artery stenting.颈动脉支架置入术中全身麻醉下的血流动力学稳定性
Radiat Med. 2005 Sep;23(6):427-31.
3
Nodal rhythm and bradycardia during inhalation induction with sevoflurane in infants: a comparison of incremental and high-concentration techniques.婴儿七氟醚吸入诱导期间的结性心律和心动过缓:递增法与高浓度法的比较
Br J Anaesth. 2000 Sep;85(3):368-70. doi: 10.1093/bja/85.3.368.
4
Sevoflurane, but not propofol, significantly prolongs the Q-T interval.七氟醚而非丙泊酚,会显著延长Q-T间期。
Anesth Analg. 2000 Jan;90(1):25-7. doi: 10.1097/00000539-200001000-00006.
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Comparative myocardial depression of sevoflurane, isoflurane, and halothane in cultured neonatal rat ventricular myocytes.七氟醚、异氟醚和氟烷对培养的新生大鼠心室肌细胞的心肌抑制作用比较
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Humans anesthetized with sevoflurane or isoflurane have similar arrhythmic response to epinephrine.
Anesthesiology. 1994 Mar;80(3):545-9. doi: 10.1097/00000542-199403000-00010.
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Observations on 'junctional rhythms' during anaesthesia.
Br J Anaesth. 1984 Aug;56(8):924-5. doi: 10.1093/bja/56.8.924.
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Isorhythmic dissociation.
Anesthesiology. 1986 Mar;64(3):407. doi: 10.1097/00000542-198603000-00028.