心房細動患者의 脊髓痲醉 終了直後 發生한 全身痙攣 症例
Post-Spinal Anesthesia Convulsion in a Patient with Atrial Fibrillation. Report of a Case
孫益鍾, 강남연,
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孫益鍾 ( ) - 朝鮮大學校 醫科大學 麻醉科學敎室
강남연 ( ) - 朝鮮大學校 醫科大學 麻醉科學敎室
KMID : 0356919770100020067
Abstract
A male patient with atrial fibrillation aged 74 years underwent an operation for benign hypertropic prostate under spinal anesthesia. Post-operatively he suffered from convulsions but was discharged without sequlae on the 18th post-operative day.
The causes of symptomatic fits include hypoxia in general, cerebral edema, embolus, hyperpyexia, drugs, hypoglycemia, hypocalcemia and concomitant diseases including cerebrovascular accidents. Probably a combination of some of these factors could have caused post-operative or post-spinal anesthesia convulsions.
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