摘要
患者,女性,52岁,因患右侧甲状腺占位性病变拟行右侧甲状腺部分切除术。术前血压140/83mmHg,HR90次/min,心电图正常,脉搏血氧饱和度(SpO2)0.96。用0.75%罗哌卡因与2%利多卡因1∶1混合液共20ml行双侧颈丛神经阻滞麻醉,注药后5min患者出现心悸、胸闷、憋气、精神紧张、兴奋多语等症状。心电监护显示:BP168/95mmHg,HR120次/min,频发室性期前收缩,偶呈二联律,SpO20.90。听诊两肺有哮鸣音,心律不齐。经给予咪达唑仑、利多卡因、地塞米松及供氧等处理后症状缓解。
A 52-year-old woman was scheduled to undergo fight partial thyroidectomy for right thyroid occupying lesion. Preoperative electrocardiographic monitoring showed the following records： BP 140/83 mmHg, HR 90 beats/min, ECG normal, pulse oxygen saturation （ SpO： ） 0.96. She received 20 ml of a mixed solution prepared with 0.75% ropivacaine solution and 2% lidocaine solution in a ratio of 1 to 1 for bilateral cervical plexus block. Five minutes after administration, the woman developed palpitation, chest distress, breath holding, mental stress, excitation and logorrhea. His BP was 168/95 mmHg, his HR was 120 beats/min with frequent premature ventricular contraction and occasional bigeming, and his SpO： was 0.90. And the auscultation revealed wheezes in the lungs and arrhythmia. After receiving midazolam, lidocaine, dexamethasone, and oxygen, she recovered gradually.
出处
《药物不良反应杂志》
2007年第5期365-366,共2页
Adverse Drug Reactions Journal
关键词
罗哌卡因
颈丛神经阻滞
心律失常
ropivacaine
cervical plexus block
cardiac arrhythmia
