使用阿曲库铵后出现心动过缓。
Bradycardia after the use of atracurium.
作者信息
Carter M L
出版信息
Br Med J (Clin Res Ed). 1983 Jul 23;287(6387):247-8. doi: 10.1136/bmj.287.6387.247.
Abstract
Four cases of severe bradycardia developed during surgery in patients given the neuromuscular blocking agent atracurium as part of the anaesthesia. In all cases sinus rhythm was restored by giving intravenous atropine. It is recommended that in all operations in which vagal stimulation is expected patients should be given atropine as part of the premedication or induction sequence and should undergo full electrocardiographic monitoring during surgery.
摘要
在麻醉过程中接受神经肌肉阻滞剂阿曲库铵的患者中，有4例在手术期间出现严重心动过缓。所有病例通过静脉注射阿托品恢复窦性心律。建议在所有预计会有迷走神经刺激的手术中，患者应在术前用药或诱导过程中给予阿托品，并在手术期间进行全面的心电图监测。
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本文引用的文献
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Evaluation of atracurium in anaesthetized man.阿曲库铵在麻醉人体中的评估。
Br J Anaesth. 1981 Jan;53(1):45-54. doi: 10.1093/bja/53.1.45.
2
The pharmacology of atracurium: a new competitive neuromuscular blocking agent.阿曲库铵的药理学：一种新型竞争性神经肌肉阻滞剂。
Br J Anaesth. 1981 Jan;53(1):31-44. doi: 10.1093/bja/53.1.31.
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