术中处理重度窦性心动过缓一例

A Case of Severe Sinus Bradycardia Was Treated during Operation

摘要: 术前窦性心动过缓的患者，通常需要事先进行充分评估和准备才能进行麻醉，以避免术中出现心跳骤停等需要抢救的情况。病例汇报：该患者术前阿托品试验阳性，术前心率50次/分，入室42~45次/分，术中多次出现中重度心动过缓，最低心率31次/分，但血流动力学仍较稳定。讨论：对于此类中度至重度心动过缓但血流动力学较稳定的患者的处理，可以采取暂不处理或仅维持在术前水平即可。

Abstract: Preoperative patients with sinus bradycardia usually need to be fully evaluated and prepared before anesthesia to avoid intraoperative cardiac arrest and other conditions requiring rescue. Case report: The patient had positive preoperative atropine test, with preoperative heart rate of 50 beats per minute and 42 - 45 beats per minute in the room. Moderate and severe bradycardia occurred several times during the operation, with the lowest heart rate of 31 beats per minute, but hemodynamics was still stable. Discussion: In patients with moderate to severe bradycardia but with stable hemodynamics, treatment may be left untreated or maintained at the preoperative level.