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正颌外科手术中的心脏停搏:一例报告

Asystole in Orthognathic Surgery: A Case Report.

作者信息

Baronos Stamatis, Fong Wayne, Saggese Nicholas P, Luke Jonathan, Ahmed Khaja, Yarmush Joel

机构信息

From the Department of Anesthesiology, NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY.

Department of Oral and Maxillofacial Surgery, Brookdale University Hospital and Medical Center, Brooklyn, NY.

出版信息

A A Pract. 2019 Apr 1;12(7):249-251. doi: 10.1213/XAA.0000000000000979.

DOI:10.1213/XAA.0000000000000979
PMID:30933955
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6484671/
Abstract

A previously healthy 26-year-old man presented for elective Le Fort I osteotomy, bilateral mandibular osteotomy, and genioplasty. During the intraoperative course, the patient developed sudden bradycardia and asystole on placement of a bite block. Asystole is an extremely rare consequence of the trigeminocardiac reflex, and awareness of this potentially life-threatening complication is pivotal in its management.

摘要

一名既往健康的26岁男性因择期行勒福Ⅰ型截骨术、双侧下颌骨截骨术和颏成形术前来就诊。术中,患者在放置咬垫时突然出现心动过缓和心搏停止。心搏停止是三叉神经心反射极为罕见的后果,认识到这种潜在的危及生命的并发症对于其处理至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abcc/6484671/828bc596fb79/acc-12-249-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abcc/6484671/828bc596fb79/acc-12-249-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abcc/6484671/828bc596fb79/acc-12-249-g003.jpg

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本文引用的文献

1
Trigemino-Cardiac Reflex: A Phenomenon Neglected in Maxillofacial Surgery?三叉神经-心脏反射:颌面外科中被忽视的一种现象?
J Maxillofac Oral Surg. 2017 Jun;16(2):181-185. doi: 10.1007/s12663-016-0959-6. Epub 2016 Sep 10.
2
Anesthetic influence on occurrence and treatment of the trigemino-cardiac reflex: a systematic literature review.麻醉对三叉神经-心脏反射发生及治疗的影响:一项系统文献综述
Medicine (Baltimore). 2015 May;94(18):e807. doi: 10.1097/MD.0000000000000807.
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小儿颅面外科手术中的灾难性和危急术中事件
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Prolonged asystole induced by trigeminocardiac reflex accompanied with abnormal heart rate variability during percutaneous balloon compression: a case report.三叉心反射诱发的长时间心脏停搏伴经皮球囊压迫术中心率变异性异常:病例报告。
J Int Med Res. 2023 Jan;51(1):3000605221148618. doi: 10.1177/03000605221148618.
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Evaluation of Trigeminocardiac Reflex in Patients Undergoing Elevation of Zygomatic Fractures.颧骨折复位患者三叉神经心脏反射的评估
Cureus. 2022 Feb 16;14(2):e22281. doi: 10.7759/cureus.22281. eCollection 2022 Feb.
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Sudden arrhythmia followed by bradycardia during sagittal split ramus osteotomy: trigeminocardiac reflex.矢状劈开下颌支截骨术中突发心律失常继之以心动过缓:三叉神经心脏反射
BMJ Case Rep. 2019 Dec 2;12(12):e232784. doi: 10.1136/bcr-2019-232784.
三叉神经心脏反射:当前的临床与生理学知识
J Neurosurg Anesthesiol. 2015 Apr;27(2):136-47. doi: 10.1097/ANA.0000000000000065.
4
The trigemino-cardiac reflex: an update of the current knowledge.三叉神经-心脏反射:当前知识的更新
J Neurosurg Anesthesiol. 2009 Jul;21(3):187-95. doi: 10.1097/ANA.0b013e3181a2bf22.
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Asystole during temporomandibular joint arthrotomy.
Anesthesiology. 1996 Dec;85(6):1488-91. doi: 10.1097/00000542-199612000-00033.
6
Asystole and bradycardia during maxillofacial surgery.颌面外科手术期间的心搏停止和心动过缓。
Anesth Prog. 1994;41(1):13-6.
7
Asystole during Le Fort I osteotomy.勒福Ⅰ型截骨术中的心搏停止
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