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剖宫产脊髓麻醉后心律失常——文氏现象常见吗?

Arrhythmias following spinal anesthesia for cesarean delivery - Is Wenckebach common?

作者信息

Kalra Seema, Hayaran Nitin

机构信息

Department of Anaesthesiology and Critical Care, IGESI Hospital, Jhilmil, Delhi, India.

出版信息

J Anaesthesiol Clin Pharmacol. 2011 Oct;27(4):541-3. doi: 10.4103/0970-9185.86604.

Abstract

Arrhythmias in pregnancy are common and may cause concern for the well-being of both mother and fetus. Generally, no previous history of heart disease is elicited and majority of the arrhythmias are benign. Bradycardia is commonly seen following subarachnoid block for cesarean section. However, the incidence of subsequent heart block is low. This case report highlights the occurrence of perioperative arrhythmias following sympathetic blockade in pregnant patients and their early detection by vigilant monitoring.

摘要

妊娠期心律失常很常见,可能会引起对母亲和胎儿健康的担忧。一般来说,患者没有心脏病史,大多数心律失常是良性的。剖宫产蛛网膜下腔阻滞术后常出现心动过缓。然而,随后发生心脏传导阻滞的发生率较低。本病例报告强调了妊娠患者交感神经阻滞后围手术期心律失常的发生情况以及通过密切监测进行早期发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ae0/3214565/91d8159fd8e9/JOACP-27-541-g001.jpg

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