Merson N
AANA J. 1993 Oct;61(5):521-3.
This is a case report of supraventricular tachycardia following initiation of epidural analgesia with use of an epinephrine test dose in a parturient during active labor. Vagal stimulatory efforts failed to interrupt the arrhythmia, but treatment with adenosine was successful. Fetal monitoring with a scalp electrode provided evidence of fetal well-being throughout the episode. Adenosine was chosen because of its safety for both the mother and the fetus and its lack of the hypotensive effect often seen with verapamil.
这是一例关于活跃期分娩产妇在使用肾上腺素试验剂量进行硬膜外镇痛后发生室上性心动过速的病例报告。迷走神经刺激措施未能中断心律失常，但腺苷治疗成功。在整个发作过程中，使用头皮电极进行胎儿监测提供了胎儿状况良好的证据。选择腺苷是因为它对母亲和胎儿均安全，且不像维拉帕米那样常伴有降压作用。
