CAJ | 학술논문

目的提高麻醉医生对手术患者心脏双束支传导阻滞的认识.方法回顾我院近5年41例双束支传导阻滞患者围手术期处理情况,并复习双束支传导阻滞有关问题的研究进展.结果 40例双束支阻滞患者麻醉手术经过顺利,术中发生低血压和心动过缓时均对药物治疗有效;1例左前分支阻滞患者在二次手术麻醉时心电图证实发展为完全性左束支阻滞,最终抢救无效死亡.结论术前无症状不伴有房室传导阻滞的慢性双束支阻滞患者不必常规安装临时起搏器,但准备适当的药物及临时起搏设备是必要的.
목적 제고마취의생대수술환자심장쌍속지전도조체적인식.방법 회고아원근5년41례쌍속지전도조체환자위수술기처리정황,병복습쌍속지전도조체유관문제적연구진전.결과 40례쌍속지조체환자마취수술경과순리,술중발생저혈압화심동과완시균대약물치료유효;1례좌전분지조체환자재이차수술마취시심전도증실발전위완전성좌속지조체,최종창구무효사망.결론 술전무증상불반유방실전도조체적만성쌍속지조체환자불필상규안장림시기박기,단준비괄당적약물급림시기박설비시필요적.
Objective To strengthen the understanding to heart bifascicular block in surgery patients. Methods The clinical data of 41 patients with heart bifascicular block undertaken selective operation were analyzed and the literature about heart bifascicular block was reviewed. Results 40 patients experienced anesthesia and operation smoothly. Hypotension and bradycardia were responsive to medical drugs. Anesthesia was postponed in one case because of acute left bundle branch block (LBBB) and the patient failed to resuscitation. Conclusion Routine prophylactic installation of pacemaker is not necessary for patients suffering from asymptomatic chronic bifascicular block in perioperative period. Nevertheless, appropriate drugs and temporary pacemaker equipment should be easily available.