腰麻中的心跳骤停  

Cardiac arrest during spinal anesthesia

作　　者：高申山[1] 刘友坦[1] 

机构地区：[1]香港大学深圳医院麻醉科,518053

出　　处：《国际麻醉学与复苏杂志》2014年第1期55-59,共5页International Journal of Anesthesiology and Resuscitation

摘　　要：背景腰麻具有适用手术种类广、麻醉阻滞完全和并发症相对较少等优点，因此，近二十多年来，随着腰麻技术的改进，腰麻已成为临床麻醉中一种比较盛行的麻醉方法。但是，腰麻有一种较为严重的并发症即心跳骤停。如果不能及时处理这一并发症就会导致严重后果。目的旨在了解腰麻中心跳骤停这一并发症的发生率、发生机制以及预防和处理方法。内容综述腰麻中心跳骤停这一并发症的发生率和发生机制，初步给出了预防和处理方法。趋势下一步研究需要更精确统计腰麻中心跳骤停的发生率，进一步阐述其发生机制以及给出正确预防和处理这一并发症的方法。Background Spinal anesthesia has several advantages such as the indications for many kinds of surgeries, a complete blockade and less complications. During last over twenty years, spinal anesthesia has become prevalent in anesthetic practice owing to the technical improvement of spinal anesthesia. However, spinal anesthesia can lead to a serious complication, that is, cardiac arrest. If it is left untreated promptly, the complication could result in severe losses. Objective This study is aimed to understand the incident rate of cardiac arrest during spinal anesthesia and its mechanism, as well as to find out how to prevent and treat it. Content The study reviews the incident rate of cardiac arrest during spinal anesthesia as well as its mechanism. It preliminarily describes the prevention and the treatment for the complication. Trend A more accurate incident rate of cardiac arrest during spinal anesthesia should be achieved. The new study should also describe in more details its mechanism as well as how to prevent and treat it.

关 键 词：麻醉 脊髓 并发症 心跳骤停 

分 类 号：R614[医药卫生—麻醉学]