星状神经节阻滞作为难治性室性心动过速的挽救治疗方法
Stellate Ganglion Block as Rescue Therapy in Refractory Ventricular Tachycardia.
作者信息
Rajesh M C, Deepa K V, Ramdas E K
机构信息
Department of Anaesthesia, Baby Memorial Hospital, Kozhikode, Kerala, India.
出版信息
Anesth Essays Res. 2017 Jan-Mar;11(1):266-267. doi: 10.4103/0259-1162.194566.
Abstract
Pain physicians and anesthesiologists routinely perform stellate ganglion block for the treatment of painful upper extremity sympathetic dystrophy. Close proximity of ganglion to vascular structures warrants some expertise and training in the procedure. Off late, successful use of the technique in intractable ventricular tachyarrhythmias has come in literature. We have few cases wherein we could successfully ablate intractable ventricular tachycardia with stellate block which was refractory to repeated shocks. We are reporting one such case with the intention of making an awareness in the anesthesia community about this treatment option.
摘要
疼痛科医生和麻醉科医生经常进行星状神经节阻滞，用于治疗上肢疼痛性交感神经功能障碍。神经节与血管结构位置接近，这就需要在该操作方面具备一定的专业知识和培训。最近，文献报道了该技术在顽固性室性快速性心律失常中的成功应用。我们有几例通过星状神经节阻滞成功消融顽固性室性心动过速的病例，这些室性心动过速对反复电击治疗无效。我们在此报告其中一例，旨在让麻醉学界了解这一治疗选择。
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