悬浮喉镜术期间的失血与阴道反射或大鼻过敏相关:一个病例报告
Quan Quang Luu1, Thai Quoc Phan2, Yen Thi Thu Phan2
1Department of Anesthesiology, Tam Anh General Hospital, Ho Chi Minh City, Vietnam. quanlq@tahospital.vn.
Journal of medical case reports
|December 19, 2025
概括
在悬浮喉腔镜检查期间突然心脏骤停 (失心) 是罕见但严重的. 及时识别和干预,如仪器移除和复苏,对于患者的安全至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 麻醉学 麻醉学
- 心脏病学 心脏病学
背景情况:
- 悬浮喉镜术期间的缩是罕见的,但危及生命的并发症.
- 及时识别和治疗对于患者的生存至关重要.
研究的目的:
- 报告在悬浮喉镜检查期间出现的 asystole 的情况.
- 讨论潜在的原因和预防策略.
主要方法:
- 介绍了一例62岁的男性在微喉手术期间经历了心血管梗塞.
- 这一事件是通过立即移除仪器,胸部压缩和阿特罗宾来管理的.
- 最可能的原因是阴道反射,可能由大脑动脉鼻过敏加剧.
主要成果:
- 患者的静脉压缩成功逆转了.
- 由喉刺激触发的阴道反射被确定为可能的原因.
- 冠状动脉鼻过敏被认为是潜在的促成因素.
结论:
- 温和的手术技术和避免过度的部延伸可以防止心肌梗塞或心血管缩.
- 在悬浮喉腔镜检查期间,对患者的警监测和对复苏的准备是必不可少的.
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