Fukuda H, Miyashita K, Ishii R, Motegi R, Saitou K, Hirabayashi Y, Shimizu R
Department of Anesthesiology, Jichi Medical School, Tochigi.
Masui. 1995 Jan;44(1):100-2.
Severe bradycardia and hypotension developed suddenly in two patients undergoing hemorrhoidectomy under lumbar epidural anesthesia in the jackknife position, about 5 to 10 min after epidural administration of buprenorphine. Severe vago-vagal reflex was supposed to have been induced with buprenorphine in a situation where venous return was decreased by epidural anesthesia and the jackknife position.
两名患者在折刀位接受腰段硬膜外麻醉下的痔切除术时，在硬膜外给予丁丙诺啡后约5至10分钟，突然出现严重心动过缓和低血压。据推测，在硬膜外麻醉和折刀位导致静脉回流减少的情况下，丁丙诺啡诱发了严重的迷走-迷走反射。
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