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血壓降下劑(Reserpine)服用 患者의 全身麻醉時 心停止

Clinical Experience with Cardiac Arrest during General Anesthesia in the Reserpinized Patient

대한마취과학회지 1976년 9권 1호 p.57 ~ 61
송희선,
소속 상세정보
송희선 (  ) - 전북대학교 의과대학 마취과학교실

Abstract


The author have experienced two cases of cardiac arrest during general anesthesia for operation of total hysterectomy and cholecystectomy in the reserpinized patient.
There are many influening factors for cardiac depression during anesthesia, overdose of general anesthetics, raised airway pressure, hemorrhage, surgical maneuvers, change in position or moving the patient, abnormalities of the circulatory ststem, septic shock, incompatible transfusion, and anaphylactic reaction.
For the cases presented, I believe that prior antihypertensive agent was the causative factor.
There are many preventive measures and treatment for cardiac depression in antihypertensive cured patient.
However in such cases, I conclude that careful history taking and prompt recognition and attention are the most important precaution.

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