脊髓麻醉下产妇的室上性心动过速
Supraventricular tachycardia in a parturient under spinal anesthesia.
作者信息
Gajraj N M, Wallace D H, Pace N A
机构信息
Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas 75235-9068.
出版信息
Reg Anesth. 1993 Jul-Aug;18(4):261-3.
PMID:8398963
Abstract
BACKGROUND AND METHODS
A 30-year-old woman with a history of palpitations was admitted for a repeat cesarean delivery at 41 weeks' gestation. Spinal anesthesia was administered.
RESULTS
Supraventricular tachycardia and hypotension developed in the patient and were treated with boluses of ephedrine and phenylephrine.
CONCLUSION
Phenylephrine may be used successfully for the treatment of SVT that results in hypotension under spinal anesthesia, and it may have advantages over ephedrine.
摘要
背景与方法
一名有心悸病史的30岁女性因妊娠41周行再次剖宫产入院。实施了脊髓麻醉。
结果
患者出现室上性心动过速和低血压，给予麻黄碱和去氧肾上腺素推注治疗。
结论
去氧肾上腺素可成功用于治疗脊髓麻醉下导致低血压的室上性心动过速，且可能比麻黄碱更具优势。
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