[一例面神经麻痹患者因星状神经节阻滞导致严重高血压的病例]
[A case of severe hypertension caused by stellate ganglion block in a patient with facial palsy].
作者信息
Yokota S, Komatsu T, Kimura T, Shimada Y
机构信息
Department of Anesthesiology, Nagoya University, School of Medicine.
出版信息
Masui. 1996 Sep;45(9):1123-6.
We report a case of severe hypertension following stellate ganglion block. A 61-year old woman received the left stellate ganglion block with 5 ml of 1% mepivacaine for her left facial palsy. Before the stellate ganglion block, blood pressure was 120/68 mmHg and heart rate was 62 b.p.m. Seven minutes after the left stellate ganglion block, blood pressure increased to 230/140 mmHg, but heart rate was unchanged. Systolic blood pressure remained above 190 mmHg for 60 minutes following the stellate ganglion block. We suggest that the extreme increase in blood pressure was due to the vagal nerve block associated with the left stellate ganglion block.
我们报告一例星状神经节阻滞术后出现严重高血压的病例。一名61岁女性因左侧面神经麻痹接受了5毫升1%甲哌卡因的左侧星状神经节阻滞。在星状神经节阻滞前，血压为120/68 mmHg，心率为62次/分钟。左侧星状神经节阻滞后7分钟，血压升至230/140 mmHg，但心率未变。星状神经节阻滞后收缩压持续60分钟高于190 mmHg。我们认为血压的极度升高是由于与左侧星状神经节阻滞相关的迷走神经阻滞所致。
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