国际麻醉学与复苏杂志
國際痳醉學與複囌雜誌
국제마취학여복소잡지
INTERNATIONAL JOURNAL OF ANESTHESIOLOGY AND RESUSCITATION
2011年
4期
507-509
,共3页
围术期心梗%室颤%复苏%经尿道前列腺切除术
圍術期心梗%室顫%複囌%經尿道前列腺切除術
위술기심경%실전%복소%경뇨도전렬선절제술
Perioperative myocardial infarction%Ventricular fibrillation%Resuscitation%TURP
报道71岁老年男性因前列腺增生实施经尿道前列腺切除术（transurethral prostatectomy，TURP）发生围术期心肌梗死（perioperative myocardial infarction,PMI）的诊疗过程。术中患者由于出现低血压、贫血、低体温、容量超负荷和低氧等引起长时间心肌缺血，最终诱发室颤并发生PMI。在给予除颤、强心、循环支持等药物治疗后，患者的病情得到稳定和改善。鉴于PMI是引起非心脏手术患者术后死亡的重要原因，对其诊断和处理应引起麻醉医师的重视。
報道71歲老年男性因前列腺增生實施經尿道前列腺切除術（transurethral prostatectomy，TURP）髮生圍術期心肌梗死（perioperative myocardial infarction,PMI）的診療過程。術中患者由于齣現低血壓、貧血、低體溫、容量超負荷和低氧等引起長時間心肌缺血，最終誘髮室顫併髮生PMI。在給予除顫、彊心、循環支持等藥物治療後，患者的病情得到穩定和改善。鑒于PMI是引起非心髒手術患者術後死亡的重要原因，對其診斷和處理應引起痳醉醫師的重視。
보도71세노년남성인전렬선증생실시경뇨도전렬선절제술（transurethral prostatectomy，TURP）발생위술기심기경사（perioperative myocardial infarction,PMI）적진료과정。술중환자유우출현저혈압、빈혈、저체온、용량초부하화저양등인기장시간심기결혈，최종유발실전병발생PMI。재급여제전、강심、순배지지등약물치료후，환자적병정득도은정화개선。감우PMI시인기비심장수술환자술후사망적중요원인，대기진단화처리응인기마취의사적중시。
This case report describes the management of a 71-year-old man who suffered from hyperplasia of prostate gland and developed perioperative myocardial infarction (PMI) after transurethral prostatectomy (TURP). Perioperative hypotension,anemia, hypoxemia, and hypothermia aggravated the patient's ischemia and volume overload, leading to ventricular fibrillation and PMI. After the management by defibrillation, cardiotonic agents and circulation supports, the patient was getting better and recovered to a stable condition. PMI is a major cause of morbidity and mortality in patients undergoing noncardiac surgery, so more attention should be paid to its diagnosis and management.
