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斜视手术中眼心反射所致心搏骤停:两例报告

Asystole due to the oculocardiac reflex during strabismus surgery: a report of two cases.

作者信息

Gold R S, Pollard Z, Buchwald I P

机构信息

Scottish Rite Children's Hospital, Atlanta, GA.

出版信息

Ann Ophthalmol. 1988 Dec;20(12):473-5, 477.

PMID:3064667
Abstract

The oculocardiac reflex is a well-known entity which may result in vagal depression of the heart when pressure is placed on the eyeball or when traction is applied to the extraocular muscles. Bradycardia is, by far, the most common cardiac response to these stimuli. We report two cases of ten-second episodes of asystole during traction on the medial rectus muscle as a reminder to ophthalmologists and anesthesiologists alike that this complication can and does occur during strabismus surgery.

摘要

眼心反射是一种众所周知的现象,当对眼球施加压力或对眼外肌施加牵引时,可能会导致心脏迷走神经抑制。迄今为止,心动过缓是对这些刺激最常见的心脏反应。我们报告了两例在内直肌牵引过程中出现长达十秒的心搏停止的病例,以提醒眼科医生和麻醉医生,这种并发症在斜视手术期间能够且确实会发生。

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Asystole due to the oculocardiac reflex during strabismus surgery: a report of two cases.斜视手术中眼心反射所致心搏骤停:两例报告
Ann Ophthalmol. 1988 Dec;20(12):473-5, 477.
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[The oculocardiac reflex of children during extraocular muscle operation under general anesthesia (report of 60 cases)].[小儿全麻下眼外肌手术中的眼心反射(附60例报告)]
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Quantitative analysis of the oculocardiac reflex by traction on human extraocular muscle.通过牵拉人眼外肌对眼心反射进行定量分析。
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Iris color alone does not predict susceptibility to the oculocardiac reflex in strabismus surgery.仅虹膜颜色不能预测斜视手术中眼心反射的易感性。
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Rocuronium attenuates oculocardiac reflex during squint surgery in children anesthetized with halothane and nitrous oxide.在使用氟烷和氧化亚氮麻醉的儿童斜视手术中,罗库溴铵可减轻眼心反射。
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[Effect of locally applied lidocaine on expression of the oculocardiac reflex].[局部应用利多卡因对眼心反射表达的影响]
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Oculocardiac Reflex During Intravitreal Injection.玻璃体内注射期间的眼心反射。
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The oculocardiac reflex may mimic signs of intracranial hypertension in patients with combined cerebral and ocular trauma.眼心反射可能会使同时患有脑和眼部创伤的患者的颅内压增高的体征产生类似表现。
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Sudden adult death.成人猝死。
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Electrocardiographic changes during subconjunctival injections.结膜下注射期间的心电图变化。
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Regional anaesthesia for intraocular surgery.眼科手术的区域麻醉
Can J Anaesth. 1993 Jul;40(7):635-57. doi: 10.1007/BF03009701.
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Trigeminocardiac reflexes: maxillary and mandibular variants of the oculocardiac reflex.三叉神经心脏反射:眼心反射的上颌支和下颌支变体
Can J Anaesth. 1991 Sep;38(6):757-60. doi: 10.1007/BF03008454.