泌尿系统疾病术中、术后血管迷走神经反射的防治  

Prevention and treatment of vasovagal reflex during and after operation in diseases of urinary system

作　　者：罗波[1] 辛娜娜[2] 蔡珂[3] 张劲峰[1] 刘欣 孙媛 刘凯[4] 张帅[1] 王宜凡 LUO Bo;XIN Nana;CAI Ke;ZHANG Jinfeng;LIU Xin;SUN Yuan;LIU Kai;ZHANG Shuai;WANG Yifan(Department of Urology,Songshan Hospital,Qingdao University Medical College,Qingdao 266021,Shandong,China;Department of Pharmacy,Songshan Hospital,Qingdao University Medical College,Qingdao 266021,Shandong,China;Department of General Practice,Songshan Hospital,Qingdao University Medical College,Qingdao 266021,Shandong,China;Department of Anesthesiology,Songshan Hospital,Qingdao University Medical College,Qingdao 266021,Shandong,China)

机构地区：[1]青岛大学医学院松山医院泌尿外科,山东青岛266021 [2]青岛大学医学院松山医院药学部,山东青岛266021 [3]青岛大学医学院松山医院全科医学科,山东青岛266021 [4]青岛大学医学院松山医院麻醉科,山东青岛266021

出　　处：《中国现代医生》2024年第10期36-38,51,共4页China Modern Doctor

基　　金：青岛大学医疗集团科研项目(2022056)。

摘　　要：目的 探讨泌尿系统疾病术中、术后血管迷走神经反射的防治。方法 选取2020年2月至2023年4月于青岛大学医学院松山医院泌尿外科完成住院手术的患者1436例,分析术中、术后发生血管迷走神经反射的应急处理措施并总结诊治经验。结果 1436例手术患者,术中发生血管迷走神经反射4例,术后发生血管迷走神经反射14例,发生率为1.25%。多数患者表现为血压、心率同时降低,给予阿托品、多巴胺静脉注射等治疗后血压、心率恢复正常,各种伴发症状消失,无死亡病例。结论 泌尿外科专科医生应重视血管迷走神经反射,总结经验,做到早期识别、及时处理以保障患者安全。Objective To explore the prevention and treatment of vasovagal reflex during and after operation in diseases of urinary system.Methods From February 2020 to April 2023,1436 patients who completed inpatient surgery in Department of Urology,Songshan Hospital,Qingdao University Medical College were selected to analyze the emergency management measures of vasovagal reflex during and after operation and summarize the diagnosis and treatment experience.Results Among 1436 patients,vasovagal reflex occurred in 4 cases during operation and 14 cases after operation,with an incidence of 1.25%.Most patients showed simultaneous decrease in blood pressure and heart rate.After intravenous injection of atropine and dopamine,blood pressure and heart rate returned to normal,and various concomitant symptoms disappeared,and no death cases were reported.Conclusion Urological specialists should pay attention to vasovagal reflex,sum up experience,do early identification,timely treatment to ensure the safety of patients.

关 键 词：泌尿系统疾病 血管迷走神经反射 治疗 阿托品 多巴胺 

分 类 号：R619[医药卫生—外科学]