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在Le Fort I整形外科手术期间的心室静脉阻塞:一个与三角心脏反射相一致的病例和一个小审查
Sucharu Ghosh1, Sandra Armanious1, Anirudh Nair1
1Department of Oral and Maxillofacial Surgery, NYCHHC/Lincoln Medical Center, 234 E 149th St, Bronx, NY 10451, USA.
在Le Fort I手术期间的侧鼻骨切除术可以触发三角心脏反射 (TCR),导致严重的心率变化,如心跳动. 及时识别和管理对于患者安全至关重要.
科学领域:
- 心血管生理学心血管生理学
- 神经外科 神经外科
- 麻醉学 麻醉学
背景情况:
- 三角心脏反射 (TCR) 涉及三角神经刺激,导致阴道介导的心血管变化.
- 虽然在Le Fort I骨切术中已知,但从侧鼻壁操纵中获得的TCR是不那么被认可的.
研究的目的:
- 突出侧鼻骨切除术作为在Le Fort I骨切除术期间TCR的潜在触发因素.
- 在这个过程中讨论一个心室静脉缩的情况.
主要方法:
- 一名接受Le Fort I骨切除术的患者的病例报告,他在侧鼻骨切除术期间经历了心室静脉阻塞.
- 综述了关于在整形手术中TCR的现有文献.
主要成果:
- 患者经历了与侧鼻骨切除术暂时相关的腹腔性静脉缩.
- 侧鼻骨切除术被确定为在整形手术中TCR的潜在额外触发因素.
结论:
- 侧鼻骨切除术可能会导致TCR与严重的肌节律失常或心衰竭,特别是在易受伤害的患者.
- 早期识别和标准化管理协议对于积极的结果至关重要.
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