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[使用星状神经节阻滞治疗难治性心律失常患者。经典入路与超声引导入路]

[Treatment of a patient with refractory cardiac arrhythmias using stellate ganglion block. Access by the classical and ultrasound-guided approach].

作者信息

Mata Francisco N C, Gómez Pesquera E, Ruiz López N, Álvarez López J C, Jorge-Monjas P

机构信息

Servicio de Anestesiología y Reanimación, Hospital Clínico Universitario de Valladolid, Valladolid, España.

Servicio de Anestesiología y Reanimación, Hospital Clínico Universitario de Valladolid, Valladolid, España.

出版信息

Rev Esp Anestesiol Reanim. 2014 Oct;61(8):454-6. doi: 10.1016/j.redar.2013.08.007. Epub 2013 Dec 20.

Abstract

Stellate ganglion block is a technique that is often used by anesthesiologists for the treatment of complex regional pain syndromes of the upper extremity. This technique interrupts cardiac sympathetic innervation and has been proposed as treatment for refractory arrhythmias. We present the case of a patient with arrhythmias that were refractory to pharmacological treatment, and were finally treated by continuous stellate ganglion block. Left stellate ganglion is a lynchpin of cardiac arrhythmias due to being a structure where the majority of postganglion sympathetic fibers responsible for preferentially innervating the atriventricular node, bundle of His and ventricular mass are originated, fundamentals in the origin and maintenance of ventricular arrhythmias.

摘要

星状神经节阻滞是一种麻醉医生常用于治疗上肢复杂性区域疼痛综合征的技术。该技术可阻断心脏交感神经支配,有人提出将其用于治疗难治性心律失常。我们报告一例心律失常患者,其心律失常对药物治疗无效,最终通过持续星状神经节阻滞得以治疗。左星状神经节是心律失常的关键部位,因为负责优先支配房室结、希氏束和心室肌的大多数节后交感神经纤维都起源于此结构,是室性心律失常发生和维持的基础。

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