摘要
目的探讨微球囊压迫(PMC)治疗三叉神经痛时的三叉神经抑制反应。方法对274例PMC治疗的三叉神经痛病人的临床资料进行分析。结果施行290次手术,观察到三叉神经抑制反应257次(89%),主要表现为心跳减慢(平均心跳减慢23次/min),其中3例出现一过性心脏停跳。结论三叉神经抑制反应是PMC治疗三叉神经痛过程中的一种常见现象。医生和麻醉师对此应有充分的了解,并从外科和药物方面做好处理的准备。
Objective To discuss trigeminal depressor response occurred during percutaneous microcompression for trigeminal neuralgia. Methods 274 patients of trigeminal neuralgia undergone percutaneous microcompression procedures were reviewed. Results 257 trigeminal depressor responses were observed in the 289 procedures performed with main feature of abrupt drops in heart rate, and asystole occurred in 3 cases. Conclusion Trigeminal depressor response is very common during the procedures of percutaneous microcompression for trigeminal neuralgia. Surgeon and anaesthesist must always be aware of the potential for the trigeminal depressor response and both be prepared surgically and pharmacologically to treat the possible life-threatening consequences intraoperatively.
出处
《中国微侵袭神经外科杂志》
CAS
2004年第3期110-111,共2页
Chinese Journal of Minimally Invasive Neurosurgery
