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老年全膝关节置换术患者丙泊酚给药后发生完全性房室结阻滞-1 例报告-。

Complete atrioventricular nodal block after propofol administration in an elderly patient undergoing total knee replacement arthroplasty -A case report-.

机构信息

Department of Anesthesiology and Pain Medicine, Soonchunhyang University, Bucheon Hospital, Bucheon, Korea.

出版信息

Korean J Anesthesiol. 2013 Apr;64(4):363-6. doi: 10.4097/kjae.2013.64.4.363. Epub 2013 Apr 22.

DOI:10.4097/kjae.2013.64.4.363
PMID:23646248
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3640171/
Abstract

Complete atrioventricular (AV) block is defined as a dissociation of atrial and ventricular activities. Complete AV block that occurs during the perioperative period is difficult to reverse and usually requires implantation of a pacemaker. Propofol does not affect a normal AV conduction system but may act as a trigger for AV block. It can also potentiate vagal stimulation factors and reduce sympathetic activity. We report a case of complete AV block that may have been related to administration of propofol.

摘要

完全性房室（AV）传导阻滞定义为心房和心室活动的分离。围手术期发生的完全性 AV 传导阻滞难以逆转，通常需要植入起搏器。丙泊酚不影响正常的 AV 传导系统，但可能作为 AV 传导阻滞的触发因素。它还可以增强迷走神经刺激因素并降低交感神经活性。我们报告了一例可能与丙泊酚给药有关的完全性 AV 传导阻滞病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dcf/3640171/9e0b083e029f/kjae-64-363-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dcf/3640171/4a664aac490d/kjae-64-363-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dcf/3640171/336d991897c6/kjae-64-363-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dcf/3640171/9e0b083e029f/kjae-64-363-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dcf/3640171/4a664aac490d/kjae-64-363-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dcf/3640171/336d991897c6/kjae-64-363-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dcf/3640171/9e0b083e029f/kjae-64-363-g003.jpg

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本文引用的文献

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