• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

伴有严重自主神经功能障碍的额颞叶痴呆患者的麻醉经验：一例报告

Anesthetic experience of frontotemporal dementia patient with severe autonomic dysfunction: a case report.

作者信息

Kim Hyae-Jin, Lee Hyeon Jeong, Lee Do Won, Kim Jae Yeon, Kwon Jae Young, Kim Hae-Kyu, Kim Won-Sung, Hwang Boo-Young

机构信息

Department of Anesthesia and Pain Medicine, Pusan National University School of Medicine, Busan, Korea.

出版信息

Korean J Anesthesiol. 2017 Jun;70(3):356-360. doi: 10.4097/kjae.2017.70.3.356. Epub 2017 Feb 3.

DOI:10.4097/kjae.2017.70.3.356
PMID:28580089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5453900/
Abstract

Anesthetic experience in frontotemporal dementia (FTD) with severe hypotension associated autonomic dysfunction has not yet been reported. Here in case, we report on the case of treatment with vasopressin to refractory hypotension in FTD patient. A 54-year-old male presented with a ten-year history of FTD with frequent syncope. The patient was scheduled to undergo subtotal gastrectomy for resection of stomach cancer. During the operation, sudden hypotension occurred and it was refractory to fluid and 1 unit of blood resuscitation and did not respond to catecholamine. Transesophageal echocardiography showed normal heart with adequate volume state. After intravenous administration of arginine vasopressin, the patient's vital signs returned to baseline values. Arginine vasopressin might be considered as a valuable alternative for treatment of severe refractory hypotension in autonomic dysfunction patients with FTD.

摘要

额颞叶痴呆（FTD）合并严重低血压相关自主神经功能障碍的麻醉经验尚未见报道。在此，我们报告1例使用血管加压素治疗FTD患者顽固性低血压的病例。一名54岁男性，有10年FTD病史，频繁晕厥。该患者计划接受胃癌切除术的胃大部切除术。手术过程中，突然发生低血压，对液体复苏和1单位输血无反应，对儿茶酚胺也无反应。经食管超声心动图显示心脏正常，容量状态合适。静脉注射精氨酸血管加压素后，患者生命体征恢复至基线值。精氨酸血管加压素可被视为治疗FTD自主神经功能障碍患者严重顽固性低血压的一种有价值的替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d1c/5453900/37964b5e02ea/kjae-70-356-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d1c/5453900/f4b772e03865/kjae-70-356-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d1c/5453900/37964b5e02ea/kjae-70-356-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d1c/5453900/f4b772e03865/kjae-70-356-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d1c/5453900/37964b5e02ea/kjae-70-356-g002.jpg

相似文献

1
Anesthetic experience of frontotemporal dementia patient with severe autonomic dysfunction: a case report.伴有严重自主神经功能障碍的额颞叶痴呆患者的麻醉经验：一例报告
Korean J Anesthesiol. 2017 Jun;70(3):356-360. doi: 10.4097/kjae.2017.70.3.356. Epub 2017 Feb 3.
2
The phoenix from the ashes: cardiovascular autonomic dysfunction in behavioral variant of frontotemporal dementia.浴火重生：额颞叶痴呆行为变异型中的心血管自主神经功能障碍
J Alzheimers Dis. 2014;42(3):1041-6. doi: 10.3233/JAD-140531.
3
Effectiveness of arginine vasopressin for the management of refractory hemorrhagic shock in a patient with autonomic dysreflexia caused by spinal cord injury.精氨酸加压素对脊髓损伤所致自主神经反射异常患者难治性失血性休克的治疗效果。
JA Clin Rep. 2018 Nov 12;4(1):79. doi: 10.1186/s40981-018-0216-8.
4
Bradycardia in frontotemporal dementia.
Neurologia. 2014 Mar;29(2):76-85. doi: 10.1016/j.nrl.2013.02.010. Epub 2013 Apr 17.
5
Bradycardia and hypotension refractory to ephedrine and atropine treatment: severe autonomic dysfunction with abnormal heart rate variability.对麻黄碱和阿托品治疗无效的心动过缓和低血压：伴有异常心率变异性的严重自主神经功能障碍。
Acta Anaesthesiol Taiwan. 2006 Jun;44(2):109-12.
6
[Frontal dementia or dementia praecox? A case report of a psychotic disorder with a severe decline].[额颞叶痴呆还是早发性痴呆？一例伴有严重衰退的精神障碍病例报告]
Encephale. 2003 Mar-Apr;29(2):172-80.
7
Case report: treatment of rocuronium-induced anaphylactic shock with vasopressin.病例报告：用血管加压素治疗罗库溴铵引起的过敏性休克。
Can J Anaesth. 2008 Jul;55(7):437-40. doi: 10.1007/BF03016310.
8
[Low dose vasopressin is effective for catecholamine-resistant hypotension after resection of pheochromocytoma].[低剂量血管加压素对嗜铬细胞瘤切除术后儿茶酚胺抵抗性低血压有效]
Masui. 2013 Oct;62(10):1218-21.
9
A case of refractory intraoperative hypotension treated with vasopressin infusion.一例用血管加压素输注治疗的难治性术中低血压病例。
J Clin Anesth. 2008 Mar;20(2):139-42. doi: 10.1016/j.jclinane.2007.06.023.
10
Correction of severe hypotension by oral pseudoephedrine in a patient with idiopathic autonomic dysfunction.口服伪麻黄碱纠正特发性自主神经功能障碍患者的严重低血压
Am J Crit Care. 2008 Sep;17(5):484, 481-3.

本文引用的文献

1
Hemodynamics of mesenteric traction syndrome measured by FloTrac sensor.通过FloTrac传感器测量的肠系膜牵引综合征的血流动力学
J Clin Anesth. 2016 May;30:46-50. doi: 10.1016/j.jclinane.2015.12.001. Epub 2016 Feb 21.
2
The phoenix from the ashes: cardiovascular autonomic dysfunction in behavioral variant of frontotemporal dementia.浴火重生：额颞叶痴呆行为变异型中的心血管自主神经功能障碍
J Alzheimers Dis. 2014;42(3):1041-6. doi: 10.3233/JAD-140531.
3
Bradycardia in frontotemporal dementia.
Neurologia. 2014 Mar;29(2):76-85. doi: 10.1016/j.nrl.2013.02.010. Epub 2013 Apr 17.
4
Dysautonomia: perioperative implications.自主神经功能紊乱：围手术期相关问题。
Anesthesiology. 2012 Jan;116(1):205-15. doi: 10.1097/ALN.0b013e31823db712.
5
Vasopressin for treatment of shock following aprotinin administration.血管加压素用于治疗抑肽酶给药后的休克。
Can J Anaesth. 2004 Feb;51(2):169-72. doi: 10.1007/BF03018778.
6
Dysautonomia in Parkinson's disease: neurocardiological abnormalities.帕金森病中的自主神经功能障碍：神经心脏学异常。
Lancet Neurol. 2003 Nov;2(11):669-76. doi: 10.1016/s1474-4422(03)00555-6.
7
Dysautonomias: clinical disorders of the autonomic nervous system.自主神经功能障碍：自主神经系统的临床疾病。
Ann Intern Med. 2002 Nov 5;137(9):753-63. doi: 10.7326/0003-4819-137-9-200211050-00011.
8
Depletion of neurohypophyseal content of vasopressin in septic shock.
Crit Care Med. 2002 Mar;30(3):497-500. doi: 10.1097/00003246-200203000-00001.
9
The pathogenesis of vasodilatory shock.血管舒张性休克的发病机制。
N Engl J Med. 2001 Aug 23;345(8):588-95. doi: 10.1056/NEJMra002709.
10
High prevalence of neurovascular instability in neurodegenerative dementias.神经退行性痴呆中神经血管不稳定的高患病率。
Neurology. 1998 Dec;51(6):1760-2. doi: 10.1212/wnl.51.6.1760.