Nishikawa T, Anzai Y, Namiki A
Institute of Clinical Medicine, University of Tsukuba, Ibaraki, Japan.
Can J Anaesth. 1988 Jul;35(4):406-8. doi: 10.1007/BF03010863.
We present a case in which progressive bradycardia and sudden cardiac arrest developed in a 26-year-old healthy woman with an ovarian cyst during spinal anaesthesia, immediately after the patient was moved from the 15 degree Trendelenburg to the supine horizontal position. We postulate that a decrease in venous return was the main cause of the cardiac arrest. It should be stressed again that close monitoring during spinal anaesthesia is essential when the patient is subjected to postural changes.
我们报告一例26岁健康女性在脊髓麻醉期间，患有卵巢囊肿，在患者从15度头低脚高位转为仰卧水平位后立即出现进行性心动过缓和心搏骤停的病例。我们推测静脉回流减少是心搏骤停的主要原因。再次强调，当患者在脊髓麻醉期间体位发生改变时，密切监测至关重要。
