病例报告：颈动脉体瘤切除术中发生心脏骤停，提示颈动脉窦过敏。
Case report: Cardiac arrest during carotid body tumor resection indicating carotid sinus hypersensitivity.
作者信息
Duan Hong Yong, Guan Qiang, Guo Yu Jie, Liang Ning
机构信息
Department of Vascular Surgery, Shanxi Provincial People's Hospital, Taiyuan, China.
Department of Vascular Surgery, The Fifth Clinical Medical College of Shanxi Medical University, Taiyuan, China.
出版信息
Front Cardiovasc Med. 2022 Dec 16;9:996644. doi: 10.3389/fcvm.2022.996644. eCollection 2022.
BACKGROUND
Carotid body tumor surgery is associated with various complications. However, intraoperative cardiac arrest is very rare and no more than 10 cases have been reported.
CASE DESCRIPTION
A 58-year-old woman diagnosed with bilateral carotid body tumors underwent right carotid body tumor surgery. Sudden cardiac arrest occurred during the resection and was attributed to carotid sinus hypersensitivity. The patient recovered after prompt treatment and the tumor was removed completely with no complications.
CONCLUSION
Cardiac arrest attributed to carotid sinus hypersensitivity during carotid body tumor resection is very rare. Proper treatments can reverse intraoperative cardiac arrest. If carotid sinus hypersensitivity is detected preoperatively, prophylactic temporary pacemaker implantation may be appropriate.
背景
颈动脉体瘤手术会引发多种并发症。然而，术中心脏骤停极为罕见，报告的病例不超过10例。
病例描述
一名58岁女性被诊断为双侧颈动脉体瘤，接受了右侧颈动脉体瘤手术。切除过程中突然发生心脏骤停，原因是颈动脉窦过敏。患者经及时治疗后康复，肿瘤被完全切除，无并发症。
结论
颈动脉体瘤切除术中因颈动脉窦过敏导致的心脏骤停非常罕见。恰当的治疗可逆转术中心脏骤停。如果术前检测到颈动脉窦过敏，预防性植入临时起搏器可能是合适的。
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