Hentz J, Lévy M, Bauer M C, Kieny M T, Kretz J G, Thiranos J C, Gauthier-Lafaye J P
Ann Fr Anesth Reanim. 1984;3(3):219-24. doi: 10.1016/s0750-7658(84)80058-1.
Six cases of bronchospasm are reported, which occurred at the end of cardiopulmonary bypass (CPB). One patient developed this condition twice within one year. This was a rare occurrence (6 cases for 3714 CPB). Symptoms were the same every time: increased inflation pressures, impossible deflation, and low left atrial pressures. Adrenaline given by way of the bypass was the quickest and most effective treatment. The favourable outcome in all 5 patients was due to the continuing of circulatory assistance by the CPB. Although the prevention of anaphylactoid accidents in atopic patients has been well documented, the cause of the bronchospasm in our patients has not been recognized, and it may well not have been due to a particular drug.
报告了6例在体外循环（CPB）结束时发生支气管痉挛的病例。1例患者在1年内两次出现这种情况。这是一种罕见的情况（3714例CPB中有6例）。每次症状相同：充气压力增加、无法放气以及左心房压力降低。通过体外循环给予肾上腺素是最快且最有效的治疗方法。所有5例患者的良好结局归因于CPB持续提供循环支持。虽然已充分证明预防特应性患者的类过敏反应，但我们患者支气管痉挛的原因尚未明确，很可能并非由某种特定药物所致。
