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一名患有二尖瓣脱垂的七岁患者在全身麻醉期间发生心室颤动。

Ventricular fibrillation during general anaesthesia in a seven-year-old patient with mitral valve prolapse.

作者信息

Casthely P A, Dluzneski J, Resurreccion M A, Kleopoulos N, Redko V

出版信息

Can Anaesth Soc J. 1986 Nov;33(6):795-8. doi: 10.1007/BF03027133.

Abstract

A case report is presented of a seven-year-old boy who developed ventricular fibrillation during general anaesthesia with atracurium, O2, N2O and halothane, following tracheal intubation for hypospadias revision. He spontaneously defibrillated and the surgery was cancelled. Echocardiography done two days later was normal. The patient returned two weeks later for the same procedure. He developed nodal tachycardia, and premature ventricular contractions, which responded to lidocaine. A second echocardiographic examination done postoperatively while the child was crying showed mitral valve prolapse.

摘要

本文报告一例七岁男孩,在因尿道下裂修复术行气管插管后,于使用阿曲库铵、氧气、笑气和氟烷进行全身麻醉期间发生室颤。他自行除颤,手术取消。两天后进行的超声心动图检查正常。患者两周后返回进行相同手术。他出现结性心动过速和室性早搏,利多卡因治疗有效。术后患儿哭闹时进行的第二次超声心动图检查显示二尖瓣脱垂。

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