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題名 | Ventricular Tachycardia after Oxytocin Injection in Patients with Prolonged Q-T Interval Syndrome--Report of Two Cases=Q-T間距延長症侯群的病人於注射Oxytocin後發生心室博動過速--兩病例報告 |
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作 者 | 劉雪金; 陳捷; 黃樹欽; 黃潔文; | 書刊名 | 麻醉學雜誌 |
卷期 | 36:1 1998.03[民87.03] |
頁次 | 頁49-52 |
分類號 | 416.5 |
關鍵詞 | 催產素術中併發症:心室博動過速; Q-T間距延長症侯群; Oxytocin intraoperative complication:tachycardia ventricular; Long Q-T syndrome; |
語文 | 英文(English) |
中文摘要 | 催產素( Oxytocin )是一種子宮收縮劑,常被廣泛使用於產科病人以刺激子 宮肌肉縮來避免產後大量出血。它的副作用包括短暫性的低血壓和心跳加速,對固定心輸出 量或出血性低血壓的病人而言應甚至可以致命,在此,我們報告兩位具 Q-T 間距延長症侯 群的病人在靜脈注射催產後引發心室博動過速的案例並討論其麻醉處置。 |
英文摘要 | Oxytocin is widely used in obstetric settings to stimulate uterine contraction and prevent postpartum hemorrhage. Its adverse effects which include transient hypotension and increase heart rate could be life-threatening in patients with fixed cardiac output or hypotension resulting from hemorrhage. We reported two cases suspected to have preexisting prolonged Q-T interval syndrome (PQTS) who developed ventricular tachycardia immediately after intravenous injection of oxytocin. Anesthetic managemen of and use of oxytocic agents in patients with PQTS were discussed. |
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