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泌尿系统疾病术中、术后血管迷走神经反射的防治

罗波 辛娜娜 蔡珂 张劲峰 刘欣 孙媛 刘凯 张帅 王宜凡

中国现代医生2024,Vol.62Issue(10):36-38,51,4.
中国现代医生2024,Vol.62Issue(10):36-38,51,4.DOI:10.3969/j.issn.1673-9701.2024.10.009

泌尿系统疾病术中、术后血管迷走神经反射的防治

Prevention and treatment of vasovagal reflex during and after operation in diseases of urinary system

罗波 1辛娜娜 2蔡珂 3张劲峰 1刘欣 3孙媛 3刘凯 4张帅 1王宜凡4

作者信息

  • 1. 青岛大学医学院松山医院泌尿外科,山东青岛 266021
  • 2. 青岛大学医学院松山医院药学部,山东青岛 266021
  • 3. 青岛大学医学院松山医院全科医学科,山东青岛 266021
  • 4. 青岛大学医学院松山医院麻醉科,山东青岛 2660211
  • 折叠

摘要

Abstract

Objective To explore the prevention and treatment of vasovagal reflex during and after operation in diseases of urinary system.Methods From February 2020 to April 2023,1436 patients who completed inpatient surgery in Department of Urology,Songshan Hospital,Qingdao University Medical College were selected to analyze the emergency management measures of vasovagal reflex during and after operation and summarize the diagnosis and treatment experience.Results Among 1436 patients,vasovagal reflex occurred in 4 cases during operation and 14 cases after operation,with an incidence of 1.25%.Most patients showed simultaneous decrease in blood pressure and heart rate.After intravenous injection of atropine and dopamine,blood pressure and heart rate returned to normal,and various concomitant symptoms disappeared,and no death cases were reported.Conclusion Urological specialists should pay attention to vasovagal reflex,sum up experience,do early identification,timely treatment to ensure the safety of patients.

关键词

泌尿系统疾病/血管迷走神经反射/治疗/阿托品/多巴胺

Key words

Urinary system disease/Vasovagal reflex/Treatment/Atropine/Dopamine

分类

临床医学

引用本文复制引用

罗波,辛娜娜,蔡珂,张劲峰,刘欣,孙媛,刘凯,张帅,王宜凡..泌尿系统疾病术中、术后血管迷走神经反射的防治[J].中国现代医生,2024,62(10):36-38,51,4.

基金项目

青岛大学医疗集团科研项目(2022056) (2022056)

中国现代医生

1673-9701

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