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先天性长QT综合征患儿的安全麻醉管理

Safe Anaesthesia Management in a Child with Congenital Long QT Syndrome.

作者信息

Özgür Mustafa, Köseoğlu Ayhan

机构信息

Clinic of Anaesthesiology and Reanimation, Antakya State Hospital, Hatay, Turkey.

出版信息

Turk J Anaesthesiol Reanim. 2016 Apr;44(2):102-4. doi: 10.5152/TJAR.2016.25348. Epub 2016 Apr 1.

Abstract

Long QT syndrome is a cardiac repolarisation disorder that can occur with clinical symptoms such as dizziness, fainting, life-threatening arrhythmias and sudden cardiac death, and its incidence is increasing in the general population. A careful anaesthetic management is required for patients with this syndrome because of the risk of torsades de pointes and malignant arrhythmias. In this case report, we discuss the anaesthetic management of a seven-year-old patient with congenital long QT syndrome that was diagnosed during the preoperative evaluation.

摘要

长QT综合征是一种心脏复极障碍,可伴有头晕、昏厥、危及生命的心律失常和心源性猝死等临床症状,且在普通人群中的发病率正在上升。由于该综合征患者有发生尖端扭转型室速和恶性心律失常的风险,因此需要进行仔细的麻醉管理。在本病例报告中,我们讨论了一名七岁先天性长QT综合征患者在术前评估时被诊断出该疾病后的麻醉管理。

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Safe Anaesthesia Management in a Child with Congenital Long QT Syndrome.先天性长QT综合征患儿的安全麻醉管理
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本文引用的文献

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The Influence of desflurane on QTc interval.地氟烷对QTc间期的影响。
Anesth Analg. 2005 Aug;101(2):419-422. doi: 10.1213/01.ANE.0000154198.41162.FA.
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The effect of inhalational anaesthetics on QTc interval.吸入性麻醉剂对QTc间期的影响。
Eur J Anaesthesiol. 2005 Mar;22(3):171-4. doi: 10.1017/s026502150500030x.
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Anesthesia for patients with congenital long QT syndrome.先天性长QT综合征患者的麻醉
Anesthesiology. 2005 Jan;102(1):204-10. doi: 10.1097/00000542-200501000-00029.
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Long QT Syndrome.长QT综合征
JAMA. 2003;289(16):2041-4. doi: 10.1001/jama.289.16.2041.
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Congenital and acquired long QT syndrome.先天性和获得性长QT综合征。
Eur Heart J. 2000 Aug;21(15):1232-7. doi: 10.1053/euhj.2000.2222.

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