在镇静下进行结肠镜检查期间,Bezold-Jarisch反射诱导的心脏骤停:一个病例报告
Qian Liu1,2, Shaomao Jia1,3, Haoming Chen4
1Department of Anesthesiology, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.
The American journal of case reports
|October 7, 2025
概括
贝佐尔德-贾里斯克反射 (BJR) 可以在镇静期间引起心脏骤停,即使是在常规手术中,如结肠镜检查. 麻醉师必须识别BJR以有效预防和治疗这种罕见但严重的事件.
科学领域:
- 麻醉学 麻醉学
- 心脏病学 心脏病学
- 生理学 生理学 生理学
背景情况:
- 贝佐尔德-贾里斯克反射 (BJR) 是一种心脏抑制反射,可以导致严重的胸肌梗塞,低血压和心脏骤停.
- 缺乏意识和BJR的稀有性可能导致误诊和延迟治疗相关心血管事件.
研究的目的:
- 报告第一个BJR诱导心脏骤停的病例,发生在镇静剂结肠镜检查期间.
- 突出考虑BJR在手术内血动力学不稳定性差异诊断中的重要性.
主要方法:
- 一个病人的病例报告在镇静结肠镜检查期间发生心脏骤停.
- 心肺复苏,给予阿特罗平和上腺素.
- 排除有机病理和多学科团队讨论以确定原因.
主要成果:
- 在例行镇静性结肠镜检查期间发生心脏骤停,通过心肺复苏成功治疗.
- 患者在随访期间完全康复,症状没有复发.
- 确定BJR是原因,可能是由禁食的低血压和镇静的血管扩张引发的.
结论:
- 在静止期间患有白心和低血压的患者中,BJR是关键考虑因素.
- 对BJR的早期识别和有针对性的干预可以预防心脏骤停等严重并发症.
- 这一案例强调了麻醉医生在镇静过程中需要对BJR的认识.
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