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经鼻胃管抽吸和注射过程中的鼻心反射:一种罕见情况。

Nasocardiac reflex during aspiration and injection through a nasogastric tube: An infrequent occurrence.

作者信息

Haldar Rudrashish, Kaur Jasleen, Bajwa Sukhminder Jit Singh

机构信息

Department of Anaesthesiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Department of Anaesthesia, Gian Sagar Medical College, Banur, Patiala, Punjab, India.

出版信息

Indian J Crit Care Med. 2015 Apr;19(4):237-9. doi: 10.4103/0972-5229.154574.

Abstract

Nasocardiac reflex is a relatively less discussed variant of trigeminovagal reflex where the afferent arc of the reflex is represented by any of the branches of the trigeminal nerves, and the efferent arc is via the vagus nerve. Elicitation of this reflex is commonly seen during surgical manipulation and is manifested as bradycardia or even asystole. We report a case where nasocardiac reflex was unusually observed in a patient when aspiration and injection were done through a nasogastric tube.

摘要

鼻心反射是一种较少被讨论的三叉神经 - 迷走神经反射变体,其中反射的传入弧由三叉神经的任何分支代表,传出弧通过迷走神经。这种反射通常在手术操作过程中诱发,表现为心动过缓甚至心脏停搏。我们报告一例患者在通过鼻胃管进行抽吸和注射时异常观察到鼻心反射的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/798e/4397633/4ab3fc32c62f/IJCCM-19-237-g001.jpg

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