Hoka S, Izumi K, Matsukado T, Matsuda K, Takahashi S
Department of Anesthesiology and Critical Care Medicine, Kyushu University, Fukuoka, Japan.
Eur J Anaesthesiol. 1995 Nov;12(6):609-12.
A case of coronary artery spasm during lumbar epidural anaesthesia prior to surgery is presented. Three paroxysmal episodes of ST segment elevation in lead II without changes in V5 developed concomitantly when the patient complained of chest discomfort. A denervation of the cardiac sympathetic nerve seems to be the primary genesis of the attack in a patient prone to such events.
本文报告一例手术前腰段硬膜外麻醉期间发生冠状动脉痉挛的病例。当患者诉说胸部不适时，Ⅱ导联出现3次阵发性ST段抬高，而V5导联无变化。对于易发生此类事件的患者，心脏交感神经去神经化似乎是发作的主要原因。
