The Korean Journal of Medicine

  • 제81권3호
  • /
  • Pages.382-386
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  • 2011
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
권호 표지

수술 중 발생한 저체온증에 의한 심실 무수축과 이후 발생한 부정맥

Ventricular Asystole and Arrhythmia during Surgery Provoked by Profound Hypothermia

  • 박현진 (경희대학교 의학전문대학원.의과대학 내과학교실) ;
  • 손주웅 (경희대학교 의학전문대학원.의과대학 내과학교실) ;
  • 임규성 (경희대학교 의학전문대학원.의과대학 내과학교실) ;
  • 박철기 (경희대학교 의학전문대학원.의과대학 내과학교실) ;
  • 박소희 (경희대학교 의학전문대학원.의과대학 내과학교실) ;
  • 백승숙 (경희대학교 의학전문대학원.의과대학 내과학교실) ;
  • 김우식 (경희대학교 의학전문대학원.의과대학 내과학교실)
  • Park, Hyun-Jin (Division of Cardiology, Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Son, Ju-Woong (Division of Cardiology, Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Lim, Kyu-Seong (Division of Cardiology, Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Park, Choul-Ki (Division of Cardiology, Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Park, So-Hee (Division of Cardiology, Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Paik, Seung-Sook (Division of Cardiology, Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Kim, Woo-Shik (Division of Cardiology, Department of Internal Medicine, Kyung Hee University School of Medicine)
  • 발행 : 2011.09.01
⟨ 이전 논문 다음 논문 ⟩

초록

저자들은 특이 병력 없는 환자에서 수술 중 저체온에 의해 발생한 심실 무수축과 부정맥을 경험하였기에 이를 보고하는 바이다.

A 55-year-old man underwent a posterior decompression and fusion under general anesthesia. Near the end of the operation, the pressure waveform from the radial artery became flat, and his oxygen level could not be measured using pulse oximetry. Palpation of the carotid artery revealed no heart rate, and ventricular asystole was diagnosed. The patient was given cardiovascular drugs, but his hemodynamic status deteriorated, leading to severe hypotension, with sinus bradycardia, sinus tachycardia, sinus arrest, and paroxysmal supraventricular tachycardia. The patient had hypothermia based on an axillary temperature of $31.9^{\circ}C$. After active warming, his cardiovascular status stabilized.

키워드

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