Amar D
Department of Anesthesiology, Cornell University Medical College, New York, New York, USA.
Chest Surg Clin N Am. 1998 Aug;8(3):479-93, vii.
Supraventricular dysrhythmias (SVDs) present the most frequent medical complication after thoracic surgery and have been associated with prolonged hospital stays. The reported incidence of SVDs in the thoracic surgery patient population ranges from 10% to 40%, with factors such as age and extent of surgery markedly influencing the incidence. This article focuses on new issues leading to improved understanding of the pathophysiology and mechanisms of SVDs after surgery. New approaches directed at prophylaxis and acute therapy of SVDs are discussed, as are recommendations to prevent thromboembolic events due to atrial dysrhythmias following thoracic surgery.
室上性心律失常(SVDs)是胸外科手术后最常见的医学并发症,且与住院时间延长有关。据报道,胸外科手术患者群体中SVDs的发生率在10%至40%之间,年龄和手术范围等因素对发生率有显著影响。本文重点关注有助于更好理解术后SVDs病理生理学和机制的新问题。文中讨论了针对SVDs预防和急性治疗的新方法,以及预防胸外科手术后因心房心律失常导致血栓栓塞事件的建议。