Ecoff S A, Miyahara C, Steward D J
Department of Anesthesiology, Children's Hospital Los Angeles, University of Southern California School of Medicine 90027, USA.
Can J Anaesth. 1996 Dec;43(12):1244-8. doi: 10.1007/BF03013433.
To describe the rare problem of severe bronchospasm occurring during cardiopulmonary bypass in a six-year-old-child.
Severe bronchospasm became apparent on attempting to resume controlled ventilation prior to weaning from cardiopulmonary bypass. The patient had a previous history of asthma but was asymptomatic preoperatively. Aggressive therapy with multiple bronchodilating agents was necessary before cardiopulmonary bypass could be discontinued. The bronchospasm resolved over the first 24 hr after surgery.
Severe bronchospasm during cardiopulmonary bypass is rare. It should only be diagnosed after ruling out other reasons for failure to ventilate. Treatment with intravenous bronchodilators is required. The cause is unknown.
描述一名6岁儿童在体外循环期间发生严重支气管痉挛这一罕见问题。
在体外循环撤机前试图恢复控制通气时，严重支气管痉挛变得明显。该患者既往有哮喘病史，但术前无症状。在能够停止体外循环之前，必须使用多种支气管扩张剂进行积极治疗。支气管痉挛在术后最初24小时内缓解。
体外循环期间发生严重支气管痉挛很罕见。只有在排除其他通气失败原因后才能做出诊断。需要静脉注射支气管扩张剂进行治疗。病因不明。
