Page M M, Watkins P J
Lancet. 1978 Jan 7;1(8054):14-6. doi: 10.1016/s0140-6736(78)90360-4.
Twelve cardiorespiratory arrests in eight neuropathy are reported. Only one patient died at the time, but two others subsequently died suddenly at home. There was no evidence of myocardial infarction, cardiac arrhythmia, or hypoglycaemia at the time of arrest. In most of the episodes there was some interference with respiration, either by anaesthesia, drugs, or bronchopneumonia. Five of the episodes occured during or immediately after anaesthesia. It is suggested that the arrests were caused by defective respiratory rather than cardiovascular reflexes. Cardiorespiratory arrest appears to be a specific feature of diabetic autonomic neuropathy and may contribute to the mortality of this condition.
据报告，8例神经病变患者发生了12次心肺骤停。当时只有1例患者死亡，但另外2例随后在家中突然死亡。骤停时没有心肌梗死、心律失常或低血糖的证据。在大多数发作中，呼吸受到了某种干扰，原因是麻醉、药物或支气管肺炎。其中5次发作发生在麻醉期间或麻醉刚结束后。有人认为，骤停是由呼吸反射缺陷而非心血管反射缺陷引起的。心肺骤停似乎是糖尿病自主神经病变的一个特征，可能会导致这种疾病的死亡率上升。
