布加综合征患者急诊阑尾切除术的麻醉管理

Anaesthetic management of a patient of Brugada syndrome for an emergency appendicectomy.

作者信息

Raval Chetankumar, Saeed Kiran

机构信息

Department of Anaesthesia, SICU, TICU, Hamad Medical Corporation, Doha, State of Qatar.

出版信息

Anesth Essays Res. 2012 Jan-Jun;6(1):101-4. doi: 10.4103/0259-1162.103390.

DOI:10.4103/0259-1162.103390

PMID:25885515

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4173442/

Abstract

Brugada syndrome is a myocardial transmembrane conduction of sodium abnormality and a common cause of sudden cardiac death. It is characterized by a distinctive electrocardiograph pattern with right bundle branch block and ST segment elevation in precordial leads V1-V3. Many factors during general anesthetic management could precipitate malignant dysrhythmia. We report the anesthetic management of a patient with Brugada syndrome for emergency appendectomy uneventfully.

摘要

Brugada综合征是一种心肌钠通道跨膜传导异常，是心源性猝死的常见原因。其特征为心电图呈现独特模式，表现为右束支传导阻滞及胸前导联V1-V3 ST段抬高。全身麻醉管理过程中的多种因素可能诱发恶性心律失常。我们报告了一例Brugada综合征患者行急诊阑尾切除术时顺利的麻醉管理情况。