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预激综合征患者行腹腔镜胆囊切除术的麻醉管理

Anesthetic management in a patient with Wolff-Parkinson-White syndrome for laparoscopic cholecystectomy.

作者信息

Gupta Anurag, Sharma Jyoti, Banerjee Neerja, Sood Rajesh

机构信息

Department of Anesthesia, Dr. RMLH and PGIMER, New Delhi, India.

出版信息

Anesth Essays Res. 2013 May-Aug;7(2):270-2. doi: 10.4103/0259-1162.118988.

Abstract

Wolff-Parkinson-White syndrome is an electrophysiological disorder of heart. Patients with such disorder may be asymptomatic or present with cardiac symptoms like palpitation and dyspnea. These patients may present with serious cardiac complication like atrial fibrillation and PSVT intraoperatively. We report a case of a 30-year-old female with WPW syndrome posted for laparoscopic cholecystectomy under general anesthesia. We took all the precautions necessary to avoid tachycardia and arranged drugs necessary to treat any complications together with stringent monitoring which is very important for favorable outcome in these patients. Management of the case offers an opportunity to relearn the important considerations on WPW syndrome.

摘要

预激综合征是一种心脏电生理紊乱疾病。患有这种疾病的患者可能没有症状,或者出现心悸、呼吸困难等心脏症状。这些患者在术中可能会出现严重的心脏并发症,如房颤和室上性心动过速。我们报告一例30岁患有预激综合征的女性患者,计划在全身麻醉下进行腹腔镜胆囊切除术。我们采取了所有必要的预防措施以避免心动过速,并准备了治疗任何并发症所需的药物,同时进行严格监测,这对这些患者获得良好预后非常重要。该病例的处理提供了一个重新学习预激综合征重要注意事项的机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e57/4173513/6ece48217116/AER-7-270-g001.jpg

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