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[全身麻醉诱导期的冠状动脉痉挛]

[Coronary vasospasm in general anaesthesia induction].

作者信息

Novas Brach G, Boada Pie S, Puig Bitrià R, Pelegrí Grau D

机构信息

Servicio de Anestesiología, Hospital de Tortosa Verge de la Cinta, Tortosa, Tarragona, España.

出版信息

Rev Esp Anestesiol Reanim. 2013 Apr;60(4):233-6. doi: 10.1016/j.redar.2012.04.018. Epub 2012 Jun 6.

Abstract

Coronary artery vasospasm in the induction of general anaesthesia is a rarely reported complication in our environment, owing to its low incidence or due to having disappeared. We present a case of a previously healthy woman, scheduled for shoulder arthroscopy, who in the anaesthetic induction had a ventricular tachycardia, which spontaneously reverted to sinus rhythm with ST elevation on the left side, and which was diagnosed and treated immediately by using angiography. The importance of the case is based on the lack of references found, and on being rarely reported in health patients during the induction of general anaesthesia, and with an immediate diagnosis and resolving using angiography.

摘要

在我们的环境中,全身麻醉诱导期间的冠状动脉血管痉挛是一种很少报道的并发症,这是由于其发病率低或已消失。我们报告一例既往健康的女性,计划进行肩关节镜检查,在麻醉诱导时出现室性心动过速,随后自发恢复为窦性心律,伴有左侧ST段抬高,并通过血管造影立即进行了诊断和治疗。该病例的重要性在于缺乏相关参考文献,且在健康患者全身麻醉诱导期间很少报道,同时通过血管造影能够立即诊断并解决问题。

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