摘要
三叉神经心脏反射(trigeminocardiac reflex,TCR)是一种常见的脑干反射,三叉神经受到刺激后,患者突然出现心动过缓或心搏骤停、低血压、呼吸暂停及胃肠蠕动增强等临床症状,严重时可危及生命。涉及三叉神经的外科手术众多,TCR发生率较高,已越来越受到麻醉医师的广泛关注。文章针对TCR的定义、病理机制、分类、发病率、与麻醉的相互作用、预防及处理、预后等相关内容进行了综述,为麻醉医师及时识别和处理TCR提供参考。
Trigeminocardiac reflex(TCR)is a well-established brain stem reflex that manifests as sudden cardiac perturbations,including bradycardia,arterial hypotension,asystole,apnea,and gastric hypermobility by surgical stimulation.The intense episode of the TCR is life-threatening.It has been widely concerned by anesthesiologists because of the great amount of surgeries could be involved in TCR and the high incidence of TCR.This review summarized the definition,pathological mechanisms,classification,incidences and its correlation with anesthesia,prevention,treatment and prognosis of the TCR so as to provide a reference for anesthesiologists to recognize and manage the TCR in time during general anesthesia.
作者
黄婷
余喜亚
Huang Ting;Yu Xiya(Faculty of Anesthesiology,Changhai Hospital,Naval Medical University,Shanghai 200433,China)
出处
《国际麻醉学与复苏杂志》
CAS
2019年第11期1077-1081,共5页
International Journal of Anesthesiology and Resuscitation
基金
国家自然科学基金青年项目(81701062)。
关键词
三叉神经心脏反射
麻醉
Trigeminocardiac reflex
Anesthesia
