面创伤患者的眼心反射:一个案例研究和文献评论
Ayush Kharia1, Srerama Janardhana Rao2, Vertika Dubey3
1Department of Oral and Maxillofacial Surgery, People's College of Dental Sciences and Research Center, Bhopal, IND.
Cureus
|June 3, 2024
概括
眼心反射 (OCR) 可以在面外科手术期间引起胸肌梗塞. 用氨酸及时治疗对于患者的安全和预防心脏事件至关重要.
科学领域:
- 麻醉学 麻醉学
- 心脏病学 心脏病学
- 口腔和牙面部外科手术
背景情况:
- 眼心反射 (OCR) 是面外伤手术期间已知的手术内并发症.
- 胸是OCR最常见的表现,可能导致严重的结果,如心脏骤停.
- 外科医生必须意识到OCR的潜在的长期心脏影响.
研究的目的:
- 在轨道底骨折修复过程中呈现眼心反射的情况.
- 讨论面创伤中OCR的机制,类型,发生率和管理.
- 强调在外科环境中识别和管理OCR的重要性.
主要方法:
- 一个40岁的男性的病例报告,他的轨道底部骨折.
- 在手术期间监测眼心反射的迹象.
- 管理涉及手术暂停和氨酸的管理.
主要成果:
- 患者在轨道地板探索期间出现了突然的眼心反射症状.
- 这种反射通过暂时停止手术并给予阿特罗宾来成功控制.
- 在这种情况下,没有报告任何长期不良心脏事件.
结论:
- 眼心反射在面外科手术中是一个显著的手术内风险.
- 及时识别和适当的医疗干预 (例如,氨酸) 对于管理OCR至关重要.
- 对于处理面创伤的外科医生来说,意识和准备至关重要,以减轻OCR风险.
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