7岁二尖瓣脱垂患者全身麻醉时的心室颤动。

P A Casthely, J Dluzneski, M A Resurreccion, N Kleopoulos, V Redko
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引用次数: 3

摘要

一个病例报告提出了一个7岁的男孩谁在全麻与阿曲库铵,O2, N2O和氟烷,气管插管尿道下裂翻修后发展心室颤动。他自动去纤颤,手术取消了。两天后的超声心动图显示正常。两周后,患者再次接受了同样的手术。他出现节段性心动过速和室性早搏,利多卡因对这些症状有反应。术后患儿哭闹时第二次超声心动图检查显示二尖瓣脱垂。
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Ventricular fibrillation during general anaesthesia in a seven-year-old patient with mitral valve prolapse.

A case report is presented of a seven-year-old boy who developed ventricular fibrillation during general anaesthesia with atracurium, O2, N2O and halothane, following tracheal intubation for hypospadias revision. He spontaneously defibrillated and the surgery was cancelled. Echocardiography done two days later was normal. The patient returned two weeks later for the same procedure. He developed nodal tachycardia, and premature ventricular contractions, which responded to lidocaine. A second echocardiographic examination done postoperatively while the child was crying showed mitral valve prolapse.

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