Ng Oriana, Shahani Shahani Jagdish
Department of Anaesthesiology, Block 6, Level 2, Singapore General Hospital, Outram Road, Singapore 169608.
Singapore Med J. 2014 Jan;55(1):e9-11. doi: 10.11622/smedj.2014008.
The optimal anaesthetic management of neonates with complete congenital heart block (CCHB) is unknown, as there is a low incidence of such cases. Neonates with CCHB often require surgery for the initiation of electronic pacing. In addition to the challenges of anaesthetising a neonate, this procedure is risky due to the potential for hypotension, arrhythmias and cardiac arrest. We herein present the case of a premature low-birth-weight neonate with antibody-related CCHB and normal heart structure who underwent anaesthesia and surgery for epicardial pacing wire insertion on Day 1 of life. We also compare our patient's anaesthetic conduct and outcome with similar previously reported cases.
由于完全性先天性心脏传导阻滞（CCHB）的新生儿病例发生率较低，其最佳麻醉管理尚不清楚。患有CCHB的新生儿通常需要进行手术以开始电子起搏。除了给新生儿麻醉的挑战外，由于存在低血压、心律失常和心脏骤停的可能性，该手术具有风险。我们在此介绍一例出生体重低的早产儿，其患有抗体相关的CCHB且心脏结构正常，在出生第1天接受了麻醉并进行了心外膜起搏导线插入手术。我们还将我们患者的麻醉实施情况和结果与之前报道的类似病例进行了比较。
