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麻醉苏醒期负压性肺水肿致应激性心肌病 1 例报告

Stress-induced cardiomyopathy after negative pressure pulmonary edema during emergence from anesthesia -A case report-.

机构信息

Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea.

出版信息

Korean J Anesthesiol. 2012 Jan;62(1):79-82. doi: 10.4097/kjae.2012.62.1.79. Epub 2012 Jan 25.

DOI:10.4097/kjae.2012.62.1.79
PMID:22323959
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3272534/
Abstract

Stress-induced cardiomyopathy (SICM) presenting as an acute myocardial dysfunction is characterized by transient left ventricular wall motion abnormality, which has been known to be associated with excessive catecholamine production caused due to various types of stress. Sympathetic hyperactivity is common during the perioperative period, and reports of SICM occurring during this period have actually increased. We present a case of SICM following negative pressure pulmonary edema due to upper airway obstruction during emergence from anesthesia. Excessive catecholamine release in response to respiratory difficulty could have been the underlying inciting factor.

摘要

应激性心肌病（SICM）表现为急性心肌功能障碍，其特征为短暂性左心室壁运动异常，这种异常已知与各种类型的应激引起的儿茶酚胺过度产生有关。围手术期交感神经活性增高很常见，实际上，在此期间发生 SICM 的报告有所增加。我们报告了一例因麻醉苏醒期上呼吸道梗阻导致负压性肺水肿后发生 SICM 的病例。对呼吸困难的过度儿茶酚胺释放可能是潜在的诱发因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc4d/3272534/73476f48f277/kjae-62-79-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc4d/3272534/dc0a10e6854f/kjae-62-79-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc4d/3272534/6468917fe1e6/kjae-62-79-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc4d/3272534/73476f48f277/kjae-62-79-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc4d/3272534/dc0a10e6854f/kjae-62-79-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc4d/3272534/6468917fe1e6/kjae-62-79-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc4d/3272534/73476f48f277/kjae-62-79-g003.jpg

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本文引用的文献

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2
Stress-induced cardiomyopathy after general anesthesia for total gastrectomy -A case report-.全麻下全胃切除术后应激性心肌病 1 例报告
Korean J Anesthesiol. 2010 Mar;58(3):299-303. doi: 10.4097/kjae.2010.58.3.299. Epub 2010 Mar 29.
3
Preoperative Takotsubo cardiomyopathy identified in the operating room before induction of anesthesia.术前在麻醉诱导前于手术室确诊应激性心肌病。
围手术期应激性心肌病：对麻醉医生的启示
Ann Card Anaesth. 2019 Jul-Sep;22(3):309-315. doi: 10.4103/aca.ACA_71_18.
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Takotsubo cardiomyopathy in two preoperative patients with pain.疼痛的两名术前患者出现 Takotsubo 心肌病。
Anesth Analg. 2010 Mar 1;110(3):708-11. doi: 10.1213/ane.0b013e3181a96fb9. Epub 2009 Jul 17.
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Acute stress cardiomyopathy.急性应激性心肌病
Curr Heart Fail Rep. 2008 Jun;5(2):61-8. doi: 10.1007/s11897-008-0011-3.
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Stress-related cardiomyopathy syndromes.应激性心肌病综合征
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