Sugai K, Sugai Y, Aoki H, Matsushima Y
Department of Anesthesia, Oumihachiman City Hospital.
Masui. 1990 Oct;39(10):1397-401.
A 54-year-old female with a history of spinocerebellar degeneration (SCD) and myoma uteri had general anesthesia for the abdominal total hysterectomy. Though the operation was uneventfully performed, various atrioventricular blocks occurred. These might be related to the SCD. Hypertonic state of the vagus was considered to be the quite possible cause of the block. Myocardial degeneration associated with the SCD was also an undeniable factor of the block. No arrhythmia occurred and symptoms of the SCD were not aggravative after the anesthesia and the patient was discharged uneventfully.
一名54岁女性,有脊髓小脑变性(SCD)和子宫肌瘤病史,因腹式全子宫切除术接受全身麻醉。尽管手术顺利进行,但出现了各种房室传导阻滞。这些可能与SCD有关。迷走神经的高张力状态被认为是传导阻滞的极有可能的原因。与SCD相关的心肌变性也是传导阻滞不可否认的一个因素。麻醉后未发生心律失常,SCD症状也未加重,患者顺利出院。