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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.

DOI:10.1007/BF03027133
PMID:3779501
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。

相似文献

1
Ventricular fibrillation during general anaesthesia in a seven-year-old patient with mitral valve prolapse.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。
Can Anaesth Soc J. 1986 Nov;33(6):795-8. doi: 10.1007/BF03027133.
2
[Intraoperative arrhythmias in a patient with mitral valve prolapse].[二尖瓣脱垂患者的术中心律失常]
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Mitral valve prolapse syndrome with coronary artery spasm: a possible cause of recurrent ventricular tachyarrhythmia.二尖瓣脱垂综合征伴冠状动脉痉挛:室性快速性心律失常复发的一个可能原因。
Clin Cardiol. 1985 May;8(5):306-8. doi: 10.1002/clc.4960080510.
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[Sudden cardiac arrest in ventricular fibrillation mechanism as a first manifestation of primary mitral valve prolapse].[以心室颤动机制所致心脏骤停为原发性二尖瓣脱垂的首发表现]
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Ventricular fibrillation due to severe mitral valve prolapse.严重二尖瓣脱垂所致心室颤动。
Int J Cardiol. 2007 Apr 4;116(3):e101-2. doi: 10.1016/j.ijcard.2006.08.073. Epub 2006 Nov 28.
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Ventricular fibrillation in a patient with unsuspected mitral valve prolapse and a prolonged Q-T interval.一名患有未被怀疑的二尖瓣脱垂且Q-T间期延长的患者发生心室颤动。
Can Anaesth Soc J. 1979 Sep;26(5):424-7. doi: 10.1007/BF03006459.
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Ventricular fibrillation during anesthetic induction in a child with undiagnosed mitral valve prolapse.一名未确诊二尖瓣脱垂的儿童在麻醉诱导期间发生心室颤动。
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本文引用的文献

1
Mitral valve prolapse.二尖瓣脱垂
Anesth Analg. 1980 May;59(5):379-83.
2
Anaesthetic considerations in patients with mitral valve prolapse.二尖瓣脱垂患者的麻醉注意事项。
Anaesthesia. 1983 Jun;38(6):560-6. doi: 10.1111/j.1365-2044.1983.tb14068.x.
3
Mitral valve prolapse--another cause of intraoperative dysrhythmias in the pediatric patient.二尖瓣脱垂——小儿患者术中心律失常的另一个原因。
Anesthesiology. 1985 May;62(5):662-4. doi: 10.1097/00000542-198505000-00026.
4
Mitral valve prolapse.二尖瓣脱垂
Can Anaesth Soc J. 1985 Mar;32(2):138-41. doi: 10.1007/BF03010036.
5
Ventricular fibrillation in a patient with unsuspected mitral valve prolapse and a prolonged Q-T interval.一名患有未被怀疑的二尖瓣脱垂且Q-T间期延长的患者发生心室颤动。
Can Anaesth Soc J. 1979 Sep;26(5):424-7. doi: 10.1007/BF03006459.