Raper R F, Fisher M M
Intensive Therapy Unit, Royal North Shore Hospital, St Leonards, New South Wales, Australia.
Lancet. 1988 Feb 20;1(8582):386-8. doi: 10.1016/s0140-6736(88)91184-1.
Profound myocardial depression developed in 2 patients after severe anaphylactic reactions following the induction of anaesthesia in 1 case and a bee-sting in the other. Neither patient had pre-existent cardiac disease. In both patients haemodynamic assessment, radionuclide ventriculography, and two-dimensional echocardiography confirmed the clinical impression of profound systolic myocardial dysfunction. Haemodynamic stability was attained by intra-aortic balloon counterpulsation, which was probably life-saving in both cases. Cardiac function improved rapidly although some contractile depression persisted for several days. At follow-up both patients had normal cardiac function with no evidence of underlying heart disease.
2例患者在麻醉诱导后发生严重过敏反应（1例）或被蜜蜂蜇伤（另1例）后出现严重心肌抑制。2例患者均无既往心脏病史。通过血流动力学评估、放射性核素心室造影和二维超声心动图，均证实了2例患者存在严重收缩期心肌功能障碍的临床印象。通过主动脉内球囊反搏实现了血流动力学稳定，这在两例患者中可能均挽救了生命。尽管仍有一些收缩功能抑制持续数天，但心脏功能迅速改善。随访时，2例患者心脏功能均正常，无潜在心脏病证据。
