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題 名 | Ephedrine-Induced Complete Atrioventricular Block with Ventricular Asystole during Rapid Concomitant Phenytoin Infusion: A Case Report=抗癲癇藥物phenytoin灌流時,使用麻黃素誘發完全房室傳導阻滯合併心室停止收縮--病例報告 |
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作 者 | 林舜原; 吳慶堂; 葉春長; 劉思祖; 何善臺; 汪志雄; | 書刊名 | 麻醉學雜誌 |
卷 期 | 37:1 1999.03[民88.03] |
頁 次 | 頁45-48 |
分類號 | 416.5 |
關鍵詞 | 手術中併發症; 完全房室傳導阻滯; 心室停止收縮; 麻黃素; Intraoperative complications; Complete atrioventricular block; Ventricular asystole; Ephedrine; Phenytoin; |
語 文 | 英文(English) |
中文摘要 | 麻黃素在臨床麻醉常用來升血壓,但當用於神經外科手術合併使用phenytoin時, 則常特別小心。本病例報告是一位59歲女性病患在接受右側顱骨切開術,以切除其轉移腫 瘤。在手術中給予phenytoin速續滴注以預防術後之抽搐。在手術結束前給予麻黃素以提升 血壓來檢查止血之效果,但卻發生血壓下降,心跳減慢,最後發生房室傳導阻滯合併心室停 止收縮。吾人立刻停止給予phenytoin輸液及給予腎上腺素1.5亳克後,成功地救回病患。 由本病例之經驗,我們建議在給予phenytoin輸液時,應由滴注幫浦來控制滴速且滴速應小 於25 mg/min,同時必需連續監視病患之心率,心速及血壓,尤其是在合併使用升壓劑時應 特別小心。 |
英文摘要 | Ephedrine is widely used to elevate blood pressure, however, one should be cautious to use it concomitantly with phenytoin infusion in neurosurgical procedures. A 59-year-old female was admitted for craniotomy with removal of metastatic brain tumor. During operation phenytoin infusion was given to forestall postoperative seizure. Hypotesion, bradycardia and complete atrioventricular block followed by ventricular asystole suddenly occurred when the patient was given ephedrine to elevate the blood pressure to see the hemostatic effect close to the end of operation. We discontinued the phenytoin infusion and immediately injected 1.5 mg epinephrine. She was success-fully resuscitated. We conclude that when phenytoin is used intraoperately it should be administered by an infusion pump at a rate of less than 25 mg/min and under continuous monitoring of cardiac rhythm, heart rate, and blood pressure. When pressure support is required, the use of a pure α-agonist may minimize the risk of adverse reactions in the presence of phenytoin infusion. |
本系統中英文摘要資訊取自各篇刊載內容。